Related Experiment Video

Updated: Feb 21, 2026

Author Spotlight: Simulating Pediatric Cardiac Surgery Using a Neonatal Piglet Model
04:55

Author Spotlight: Simulating Pediatric Cardiac Surgery Using a Neonatal Piglet Model

Published on: May 26, 2023

1.4K

Association of Pediatric Medical Emergency Teams With Hospital Mortality

Shelby Kutty1, Philip G Jones2, Quentin Karels1

  • 1Division of Cardiology, Department of Pediatrics, Children's Hospital and Medical Center, University of Nebraska Medical Center, and Creighton University (S.K.).

Circulation
|October 6, 2017
PubMed

Insights

Medical emergency teams were implemented in pediatric hospitals, but did not reduce hospital mortality rates beyond existing trends. Further research is needed to understand the impact of these teams on patient outcomes.

Area of Science:

  • Pediatric critical care medicine
  • Health services research

Background:

  • Medical emergency teams (METs) aim to prevent in-hospital cardiac arrest by responding to acute physiological decline.
  • Previous studies on METs and mortality have limitations, often not accounting for preimplementation trends.

Purpose of the Study:

  • To evaluate the association between MET implementation and hospital mortality rates in freestanding pediatric hospitals.
  • To determine if METs reduce mortality beyond established preimplementation trends.

Main Methods:

  • Analysis of annual risk-adjusted mortality rates from 2000-2015 in the Pediatric Health Information System.
  • Utilized a random slopes interrupted time series analysis to assess MET impact on mortality trends.

Main Results:

  • Hospital mortality decreased by 6.0% annually before MET implementation.
  • Post-MET implementation, mortality continued to decrease by 6.0% annually, with no significant change in the mortality slope.
  • No difference was observed between predicted and actual mortality rates five years after MET implementation.

Conclusions:

  • MET implementation in a large sample of US pediatric hospitals was not associated with a reduction in hospital mortality beyond preimplementation trends.
  • The findings suggest that existing mortality reduction trends continued post-MET implementation without an added benefit.
Abstract

Keywords:
emergency medicineheart arresthospital mortalityhospital rapid response teamhospitals, pediatric

More Related Videos

A Modified Sonographic Algorithm for Image Acquisition in Life-Threatening Emergencies in the Critically Ill Newborn11:27

A Modified Sonographic Algorithm for Image Acquisition in Life-Threatening Emergencies in the Critically Ill Newborn

Published on: April 7, 2023

7.5K
Standardized Model of Ventricular Fibrillation and Advanced Cardiac Life Support in Swine05:36

Standardized Model of Ventricular Fibrillation and Advanced Cardiac Life Support in Swine

Published on: January 30, 2020

8.5K

Related Concept Videos

Cardiopulmonary Resuscitation III: AED Use01:23

Cardiopulmonary Resuscitation III: AED Use

Introduction to AEDAn Automated External Defibrillator (AED) is a portable medical device that analyzes the heart's rhythm and, if necessary, delivers an electrical shock to help the heart re-establish an effective rhythm during sudden cardiac arrest (SCA). SCA occurs when the heart suddenly and unexpectedly stops beating, leading to a loss of blood flow to the brain and other vital organs. In such emergencies, time is of the essence, and using an AED, combined with Cardiopulmonary...
828
Cardiopulmonary Resuscitation IV: Pharmacological Management01:25

Cardiopulmonary Resuscitation IV: Pharmacological Management

Pharmacologic intervention is crucial in treating cardiac arrest patients during ACLS or Advanced Cardiovascular Life Support. The ACLS algorithms guide the administration of specific drugs based on the patient's cardiac arrest rhythm, which includes pulseless ventricular tachycardia (VT), ventricular fibrillation (VF), asystole, and pulseless electrical activity (PEA).EpinephrineIndication: Epinephrine is the first-line drug for all cardiac arrest rhythms.Mechanism of Action: Epinephrine...
970
Cardiopulmonary Resuscitation I: Adult01:21

Cardiopulmonary Resuscitation I: Adult

Cardiopulmonary resuscitation, or CPR, is a life-saving emergency procedure performed when a person's heart has stopped beating or they are no longer breathing. The foundation of CPR is Basic Life Support (BLS), which focuses on the early recognition of cardiac arrest, the immediate start of high-quality chest compressions, and the timely use of an automated external defibrillator (AED).Assessing Responsiveness and Checking the Carotid PulseWhen approaching an unresponsive person, first ensure...
823
Methods of Documentation II: POMR01:26

Methods of Documentation II: POMR

The Problem-Oriented Medical Record (POMR) revolutionized medical record-keeping by introducing a systematic approach focusing on the patient's problems rather than merely listing symptoms. Dr. Lawrence Weed's introduction of this method in the 1960s marked a significant advancement in medical documentation. The POMR framework consists of four key components: the database, problem list, plan of care, and progress notes.
1.5K
Pharmacokinetics in Pediatric Patients: Drug Excretion01:26

Pharmacokinetics in Pediatric Patients: Drug Excretion

In pediatric medicine, understanding the renal function and drug elimination nuances is crucial for administering safe and effective treatments. Newborns, in particular, display markedly slower renal functions than adults, profoundly affecting how drugs are cleared from their bodies. This slower drug clearance requires clinicians to extend the dosing intervals for many medications to prevent drug accumulation and toxicity while ensuring therapeutic efficacy.One key area where these adjustments...
302
Pharmaceutical Poisoning: Potential Scenarios01:26

Pharmaceutical Poisoning: Potential Scenarios

Pharmaceutical poisoning can occur through various channels, impacting an estimated 2 million hospitalized patients in the U.S. annually with serious adverse drug responses. These scenarios encompass both therapeutic uses, such as drug toxicity, where even standard dosages can lead to severe central nervous system depression, and non-therapeutic exposures, including accidental ingestion by children, and environmental and occupational exposures.Unintentional poisonings often involve exploratory...
22