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High Rate of Medical Emergency Team Activation in Children with Tracheostomy

Brianna L McKelvie1, Anna-Theresa Lobos2, Jason Chan3

  • 1Division of Critical Care, Department of Pediatrics, Faculty of Medicine, Western University, Children's Hospital-London Health Sciences Centre, London, Ontario, Canada.

Journal of Pediatric Intensive Care
|January 28, 2020
PubMed

Insights

Pediatric inpatients with tracheostomies (PIT) experienced significantly higher medical emergency team (MET) activations compared to general ward patients. This highlights the critical need for targeted strategies to improve safety for PITs on hospital wards.

Area of Science:

  • Pediatric critical care medicine
  • Hospital patient safety

Background:

  • Pediatric inpatients with tracheostomies (PIT) face elevated risks of clinical deterioration.
  • Medical emergency teams (METs) are crucial for early detection of high-risk patients in hospitals.

Purpose of the Study:

  • To compare the rates of MET activation between pediatric inpatients with tracheostomies (PITs) and the general pediatric ward population.
  • To assess the risk of clinical deterioration in PITs requiring MET intervention.

Main Methods:

  • A retrospective cohort study design was employed.
  • Data were collected from a tertiary pediatric hospital between 2008 and 2014.
  • The primary outcome measured was the rate of MET activation.

Main Results:

  • The MET activation rate was substantially higher in the PIT group (14 per 100 admissions) compared to the general ward population (2.9 per 100 admissions).
  • This difference was statistically significant (p < 0.001).

Conclusions:

  • Pediatric inpatients with tracheostomies are at a significantly higher risk for clinical deterioration requiring MET activation.
  • Developing specific strategies to mitigate risks for PITs on hospital wards is essential for improving patient safety.

Keywords:
medical emergency teamrapid response systemtracheostomy

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