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Table 2 The percentage of MET interventions resulting in placement of a DNAR order

From: Rapid response systems: are they really effective?

Author, year

DNAR/MET calls (%)

Buist, 2002 [8]

17/152 (11.2)

Bellomo, 2003 [17]

2/99 (2)

Kenward, 2004 [9]

32/130 (24.6)

Hillman, 2005 [7]

106/1319 (8)

Jones, 2005 [29]

18/327 (5.5)

Chan, 2008 [11]

73/376 (19.4)

Lighthall, 2010 [28]

10/378 (2.6)

Beitler, 2011 [20]

96/855 (11.2)

Laurens, 2011 [21]

55/296 (18.5)

Al-Qahtani, 2013 [14]

269/2879 (9.3)

  1. On the other hand, placement of a DNAR order does not necessarily prevent MET intervention or the escalation of therapy. In a recent study [10], 45 ward patients with a DNR order in place were reviewed by the MET and 18 (40%) were transferred to the ICU after MET activation.