{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,6]],"date-time":"2026-04-06T20:42:57Z","timestamp":1775508177336,"version":"3.50.1"},"reference-count":19,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2016,4,7]],"date-time":"2016-04-07T00:00:00Z","timestamp":1459987200000},"content-version":"vor","delay-in-days":6,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Internal Medicine Journal"],"published-print":{"date-parts":[[2016,4]]},"abstract":"Background<\/jats:title>Healthcare professionals may have difficulty in recognising the dying patient in acute care settings, and yet, this is essential if timely end\u2010of\u2010life care is to be provided. While approximately one\u2010third of patients who pass away in\u2010hospital are reviewed by the rapid response team (RRT<\/jats:styled-content>), there is limited available research on other factors associated with mortality within the hospital setting.<\/jats:p><\/jats:sec>Aims<\/jats:title>To describe the epidemiology of in\u2010hospital mortality within a tertiary\u2010level hospital, particularly in the context of RRT<\/jats:styled-content> activation.<\/jats:p><\/jats:sec>Methods<\/jats:title>We utilised the database extraction of demographic, admission and RRT<\/jats:styled-content> activation data on acute patients discharged from an Australian acute tertiary hospital between 1 January 2009 and 31 December 2013. Analyses included simple descriptors, Chi\u2010squared and non\u2010parametric Kruskal\u2013Wallis tests as appropriate.<\/jats:p><\/jats:sec>Results<\/jats:title>Of the 44\u2009297 patients discharged from our hospital, 1603 died during admission. The general medical, haematology\/oncology and intensive care teams provided care for the majority of the patients who died. A small number of diagnoses had in\u2010patient mortality rates of greater than 25%. These included respiratory failure, alcoholic liver disease, vascular disorders of the intestine, sepsis and aspiration pneumonia. Over 75% of patients who received a RRT<\/jats:styled-content> call survived to hospital discharge; however, patients who received four or more RRT<\/jats:styled-content> calls during admission had an in\u2010hospital mortality rate of over 40%.<\/jats:p><\/jats:sec>Conclusion<\/jats:title>Acute in\u2010patient mortality is unequally distributed throughout the hospital, and a small number of diagnoses has large associated in\u2010patient mortality rates. Repeated involvement of the RRT<\/jats:styled-content> is associated with in\u2010patient mortality.<\/jats:p><\/jats:sec>","DOI":"10.1111\/imj.13019","type":"journal-article","created":{"date-parts":[[2016,2,3]],"date-time":"2016-02-03T15:44:56Z","timestamp":1454514296000},"page":"457-464","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Epidemiology of in\u2010hospital mortality in acute patients admitted to a tertiary\u2010level hospital"],"prefix":"10.1111","volume":"46","author":[{"given":"M.","family":"Le Guen","sequence":"first","affiliation":[{"name":"Department of Critical Care St Vincent's Hospital Melbourne Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A.","family":"Tobin","sequence":"additional","affiliation":[{"name":"Department of Critical Care St Vincent's Hospital Melbourne Melbourne Victoria 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