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[Rapid response team led by pediatricians: Experience at a Latin American Tertiary Care Hospital]

Laura F Niño-Serna1, Carolina Tamayo-Múnera1

  • 1Hospital Pablo Tobón Uribe, Medellín, Colombia.

Andes Pediatrica : Revista Chilena De Pediatria
|January 6, 2025
PubMed

Insights

Pediatric rapid response teams (PRRT) help detect patient deterioration and prevent cardiopulmonary arrests (CPA). This study found PRRTs led by pediatricians resulted in fewer CPA events, with most interventions being low-to-medium complexity.

Area of Science:

  • Pediatric critical care medicine
  • Hospital patient safety
  • Clinical quality improvement

Context:

  • Pediatric rapid response teams (PRRT) are crucial for early detection of clinical deterioration in hospitalized children.
  • High-complexity hospitals face unique challenges in managing pediatric emergencies.
  • The role of pediatricians in leading PRRTs requires further investigation.

Purpose:

  • To evaluate the effectiveness of a pediatrician-led Pediatric Rapid Response Team (PRRT) in a high-complexity hospital setting.
  • To analyze the characteristics of PRRT activations and the interventions performed.
  • To assess the impact of PRRT implementation on patient outcomes, specifically cardiopulmonary arrest (CPA) events.

Summary:

  • A retrospective study analyzed 225 PRRT events in hospitalized children (under 18) between 2015 and 2022, excluding suspected CPA activations.
  • Activations were most frequent in children under two, oncology patients, general hospitalizations, during night shifts, and for respiratory compromise.
  • Most evaluations occurred within five minutes, with common interventions including oxygen, fluid bolus, labs, and X-rays. Pediatric intensive care unit admission was 45%.

Impact:

  • The implementation of PRRTs showed a trend toward reducing cardiopulmonary arrest events in hospital wards.
  • The majority of PRRT-derived therapeutic interventions were of low or medium complexity.
  • Findings support the pediatrician's capability to effectively lead PRRTs, optimizing pediatric patient care and safety.

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