Pediatric Medical Emergency Team Events and Outcomes: A Report of 3647 Events From the American Heart Association's Get With the Guidelines-Resuscitation Registry

Hospital Pediatrics
Tia T RaymondAmerican Heart Association Get With the Guidelines-Resuscitation Investigators

Abstract

To describe the clinical characteristics and outcomes of a large, multicenter cohort of pediatric medical emergency team (MET) events occurring in US hospitals reported to the American Heart Association's Get With the Guidelines-Resuscitation registry. We analyzed consecutive pediatric (<18 years) MET events reported to the registry from January 2006 to February 2012. We identified 3647 MET events from 151 US hospitals: 3080 (84%) ward and 567 (16%) telemetry/step-down unit events; median age 3.0 years (interquartile range: 0.0-11.0); 54% male; median duration 29 minutes (interquartile range: 18-49). Triggers included decreased oxygen saturation (32%), difficulty breathing (26%), and staff concern (24%). Thirty-seven percent (1137/3059) were admitted within 24 hours before MET event. Within 24 hours before the MET event, 16% were transferred from a PICU, 24% from an emergency department, and 7% from a pediatric anesthesia care unit. Fifty-three percent of MET events resulted in transfer to a PICU; 3251 (89%) received nonpharmacologic interventions, 2135 (59%) received pharmacologic interventions, 223 (6.1%) progressed to an acute respiratory compromise event, and 17 events (0.5%) escalated to cardiopulmonary arrest during the e...Continue Reading

References

Apr 1, 1995·Anaesthesia and Intensive Care·A LeeK Daffurn
Sep 11, 2003·The Medical Journal of Australia·Rinaldo BellomoGeoffrey Gutteridge
Apr 28, 2006·Critical Care Nursing Quarterly·Kate J MorseDenise C Pecora
Apr 10, 2007·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Richard J BrilliMary McBride
Jun 5, 2007·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Folafoluwa O OdetolaThomas P Shanley
Sep 18, 2007·Journal of Critical Care·Ann McDonnellKathy Rowan
Feb 6, 2008·Archives of Pediatrics & Adolescent Medicine·Elizabeth A HuntMarlene R Miller
May 30, 2008·Journal for Healthcare Quality : Official Publication of the National Association for Healthcare Quality·Bonnie S DeanJocelyn Benes-Stickle
Aug 5, 2008·Pediatric Clinics of North America·James Tibballs, Elise W van der Jagt
Aug 8, 2009·Pediatric Clinics of North America·Kerry T Van Voorhis, Tina Schade Willis
Nov 17, 2009·Resuscitation·Arthas FlabourisUNKNOWN MERIT Study Investigators from the Simpson Centre and the ANZICs Clinical Trials Group
Jan 13, 2010·Archives of Internal Medicine·Paul S ChanComilla Sasson
Jun 22, 2011·Pediatrics·Afrothite KotsakisUNKNOWN Ontario Pediatric Critical Care Response Team Collaborative
Dec 22, 2012·The Journal of Pediatric Pharmacology and Therapeutics : JPPT : the Official Journal of PPAG·Melania M BembeaElizabeth A Hunt
Sep 3, 2013·Resuscitation·Faheem W GuirgisSteven A Godwin
May 20, 2015·Critical Care Medicine·Murray M PollackUNKNOWN Eunice Kennedy Shriver National Institute of Child Health and Human Development Collaborative Pediatric Critical Care Resear

❮ Previous
Next ❯

Citations

Jan 28, 2016·Hospital Pediatrics·Elizabeth H Mack, Daniel Williams
May 12, 2017·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Lars W AndersenUNKNOWN American Heart Association’s Get With The Guidelines-Resuscitation Investigators
Sep 2, 2017·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Charles Schleien, Meghan Craven
Jan 13, 2018·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Kristen M MeulmesterAarti C Bavare
Dec 1, 2018·Medical Education Online·Aarti C BavareSatid Thammasitboon
Jun 30, 2019·Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine·Farah S HussainPatrick W Brady
Mar 16, 2017·Archives of Disease in Childhood·Susan M ChapmanMark J Peters
Mar 30, 2020·Hospital Pediatrics·Daryl R ChengCarolyn E Beck
Jul 1, 2020·Hospital Pediatrics·Aarti C BavareJenilea K Thomas
Mar 16, 2017·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Aarti C BavarePaul A Checchia
Jul 12, 2017·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Maya Dewan, Ken Tegtmeyer
Oct 2, 2019·Pediatric Quality & Safety·Hannah R StinsonMeg Frizzola
Oct 11, 2017·Journal for Healthcare Quality : Official Publication of the National Association for Healthcare Quality·Aarti C BavareJeanine M Graf
Feb 25, 2021·Cardiology in the Young·Angela S McKetaJason R Buckley
Apr 17, 2021·Hospital Pediatrics·Meghan M GalliganRobert M Sutton
Jul 11, 2021·Hospital Pediatrics·Kristen M MeulmesterAarti C Bavare
Aug 20, 2021·Cardiology in the Young·Aarti C BavareJohn M Costello

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies
Thomas W ConlonAlexis Topjian
The Journal of Allergy and Clinical Immunology. in Practice
Donald H ArnoldTina V Hartert
Anales de pediatría : publicación oficial de la Asociación Española de Pediatría (A.E.P.)
B CabezaJ Casado-Flores
© 2021 Meta ULC. All rights reserved