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J Pediatr Intensive Care. 2020 Mar;9(1):27-33. doi: 10.1055/s-0039-1695733. Epub 2019 Sep 2.

High Rate of Medical Emergency Team Activation in Children with Tracheostomy.

Author information

1
Division of Critical Care, Department of Pediatrics, Faculty of Medicine, Western University, Children's Hospital-London Health Sciences Centre, London, Ontario, Canada.
2
Division of Critical Care, Department of Pediatrics, Faculty of Medicine, University of Ottawa, Children's Hospital of Eastern Ontario, Ottawa, Ontario, Canada.
3
Children's Hospital of Eastern Ontario Research Institute, Ottawa, Ontario, Canada.

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.

KEYWORDS:

medical emergency team; rapid response system; tracheostomy

PMID:
31984154
PMCID:
PMC6978169
[Available on 2021-03-01]
DOI:
10.1055/s-0039-1695733

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