Analysis of the application effect of a rapid response team in emergency cesarean section

Abstract

Introduction

Emergency cesarean section is one of the most critical methods in the treatment of high-risk emergency obstetric cases. The aim of this study was to explore the clinical effect of constructing a Rapid Response Team (RRT) in emergency cesarean section.

Methods

This is a pre- and post-implementation study. The patients who underwent emergency cesarean section were retrospectively analyzed and divided into an experimental group and a control group. There were 52 patients (June–December 2020) in the control group who underwent routine emergency cesarean section without an RRT, and 51 patients (January–June 2021) in the experimental group who underwent emergency cesarean section with an RRT. The operation time indexes (DOI, decision-to-operating room interval; O-I, operating room-to-incision interval; DII, decision-to-incision interval; I-D, incision-to-delivery interval; DDI, decision-to-delivery interval), DDI pass rate, neonatal Apgar score and maternal complications in the two groups were compared. Moreover, the management time trends (DOI, DII, and DDI) in the experimental group were analyzed.

Results

The DDI, DII, DOI, and O-I of the experimental group were shorter than those of the control group, and the differences were significant (p < 0.05). The DDI pass rate in the experimental group was higher than that in the control group, and the difference was significant (p < 0.01). The 1-min Apgar score of the experimental group was higher than that of the control group (p < 0.05). The key intervals of emergency cesarean section in the experimental group leveled off after approximately 3 to 4 months.

Conclusion

In the face of emergency situations, the implementation of an emergency cesarean section RRT can improve delivery intervals for emergency cesarean and would be conducive to maternal and infant safety.

Keywords:

• Emergency cesarean section
• rapid response team
• delivery intervals

Acknowledgements

We would like to thank Hengyang Medical School, University of South China for giving us the chance to carry out this project. We also acknowledge the data collectors and staff members of the First Affiliated Hospital of the University of South China for their help and encouragement in conducting this project.

Ethics approval and consent to participate

The study was performed in accordance with the Declaration of Helsinki. The study was approved by the ethics review board of the First Affiliated Hospital of the University of South China. Informed consent was obtained from all subjects.

Consent for publication

Not applicable.

Authors’ contributions

Dong Yang conceived the original idea and wrote the proposal. Dong Yang and Yi Li designed the study. Dong Yang, Yi Li, Chunfen Yang, Shuangjian Yang, and Hui Lan organized the data collection and analyzed the data. Dong Yang and Yi Li wrote the manuscript for publication. All authors contributed to editing the manuscript, provided critical feedback, and approved the final manuscript.

Disclosure statement

No potential conflict of interest was reported by the author(s). The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Data availability statement

The data used to support the findings of this study are available from the corresponding author upon request.

Additional information

Funding

This work was supported by grants from the Hospital management Research and reform project of the University of South China (No. 2021YYGL13), the Scientific research Project of Hunan Provincial Health Commission (No. 202005030004, 202215014474), and the Teaching Reform research project of the University of South China (No. 2020YB-XJG88, 2020YB-XJG94).