J Pediatr Intensive Care 2020; 09(01): 027-033
DOI: 10.1055/s-0039-1695733
Original Article
Georg Thieme Verlag KG Stuttgart · New York

High Rate of Medical Emergency Team Activation in Children with Tracheostomy

Brianna L. McKelvie
1  Division of Critical Care, Department of Pediatrics, Faculty of Medicine, Western University, Children's Hospital-London Health Sciences Centre, London, Ontario, Canada
,
Anna-Theresa Lobos
2  Division of Critical Care, Department of Pediatrics, Faculty of Medicine, University of Ottawa, Children's Hospital of Eastern Ontario, Ottawa, Ontario, Canada
,
Jason Chan
3  Children's Hospital of Eastern Ontario Research Institute, Ottawa, Ontario, Canada
,
Franco Momoli
3  Children's Hospital of Eastern Ontario Research Institute, Ottawa, 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
› Author Affiliations
Funding There was no funding secured for this study.
Further Information

Publication History

07 May 2019

19 July 2019

Publication Date:
02 September 2019 (online)

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.

Supplementary Material