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High Rate of Medical Emergency Team Activation in Children with Tracheostomy.
Pediatric in-patients with tracheostomy (PIT) are at high risk for clinical deterioration. Medical emergency teams (MET) have been developed to identify high-risk patients. This study compared MET activation rates between PITs and the general ward population. This was a retrospective cohort study conducted at a tertiary pediatric hospital. The primary outcome (MET activation) was obtained from a database. Between 2008 and 2014, the MET activation rate was significantly higher in the PIT group than the general ward population (14 vs. 2.9 per 100 admissions, p < 0.001). PITs are at significantly higher risk for MET activation. Strategies should be developed to reduce their risk on the wards.
Authors
- McKelvie, Brianna L, McKelvie BL, Division of Critical Care, Department of Pediatrics, Faculty of Medicine, Western University, Children's Hospital-London Health Sciences Centre, London, Ontario, Canada.
- Lobos, Anna-Theresa, Lobos AT, Division of Critical Care, Department of Pediatrics, Faculty of Medicine, University of Ottawa, Children's Hospital of Eastern Ontario, Ottawa, Ontario, Canada.
- Chan, Jason, Chan J, Children's Hospital of Eastern Ontario Research Institute, Ottawa, Ontario, Canada.
- Momoli, Franco, Momoli F, Children's Hospital of Eastern Ontario Research Institute, Ottawa, Ontario, Canada.
- McNally, James Dayre, McNally JD, Division of Critical Care, Department of Pediatrics, Faculty of Medicine, University of Ottawa, Children's Hospital of Eastern Ontario, Ottawa, Ontario, Canada.; Children's Hospital of Eastern Ontario Research Institute, Ottawa, Ontario, Canada.
YEAR OF PUBLICATION: 2020
SOURCE: J Pediatr Intensive Care. 2020 Mar;9(1):27-33. doi: 10.1055/s-0039-1695733. Epub 2019 Sep 2.
JOURNAL TITLE ABBREVIATION: J Pediatr Intensive Care
JOURNAL TITLE: Journal of pediatric intensive care
ISSN: 2146-4618 (Print) 2146-4626 (Electronic) 2146-4626 (Linking)
VOLUME: 9
ISSUE: 1
PAGES: 27-33
PLACE OF PUBLICATION: Germany
ABSTRACT:
Pediatric in-patients with tracheostomy (PIT) are at high risk for clinical deterioration. Medical emergency teams (MET) have been developed to identify high-risk patients. This study compared MET activation rates between PITs and the general ward population. This was a retrospective cohort study conducted at a tertiary pediatric hospital. The primary outcome (MET activation) was obtained from a database. Between 2008 and 2014, the MET activation rate was significantly higher in the PIT group than the general ward population (14 vs. 2.9 per 100 admissions, p < 0.001). PITs are at significantly higher risk for MET activation. Strategies should be developed to reduce their risk on the wards.
Pediatric in-patients with tracheostomy (PIT) are at high risk for clinical deterioration. Medical emergency teams (MET) have been developed to identify high-risk patients. This study compared MET activation rates between PITs and the general ward population. This was a retrospective cohort study conducted at a tertiary pediatric hospital. The primary outcome (MET activation) was obtained from a database. Between 2008 and 2014, the MET activation rate was significantly higher in the PIT group than the general ward population (14 vs. 2.9 per 100 admissions, p < 0.001). PITs are at significantly higher risk for MET activation. Strategies should be developed to reduce their risk on the wards.
COPYRIGHT INFORMATION: (c) Thieme Medical Publishers.
LANGUAGE: eng
DATE OF PUBLICATION: 2020 Mar
DATE OF ELECTRONIC PUBLICATION: 20190902
DATE REVISED: 20210302
MESH DATE: 2020/01/28 06:01
EDAT: 2020/01/28 06:00
STATUS: PubMed-not-MEDLINE
PUBLICATION STATUS: ppublish
LOCATION IDENTIFIER: 10.1055/s-0039-1695733 [doi]
OWNER: NLM
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