Clinical profile of hospitalized children provided with urgent assistance from a medical emergency team

Pediatrics

Volumn 121, Issue 6, 2008, Pages

  Kinney, Sharon ^a,b,c   Tibballs, James ^a,b,c   Johnston, Linda ^a,b,c   Duke, Trevor ^a,b,c  

^a ROYAL CHILDREN'S HOSPITAL   (Australia)

^b UNIVERSITY OF MELBOURNE   (Australia)

^c MURDOCH CHILDREN'S RESEARCH INSTITUTE   (Australia)

Author keywords

Cardiopulmonary resuscitation; Child; Critical illness; Medical emergency team; Morbidity; Mortality

Indexed keywords

SODIUM;

ANALGESIA; ARTICLE; CHILD; CHILD HOSPITALIZATION; CHRONIC DISEASE; EMERGENCY CARE; EMERGENCY MEDICINE; ENDOTRACHEAL INTUBATION; FEMALE; FLUID RESUSCITATION; GLUCOSE BLOOD LEVEL; HEALTH PRACTITIONER; HEART ARREST; HIGH RISK POPULATION; HOSPITAL ADMISSION; HUMAN; HYPERNATREMIA; HYPOGLYCEMIA; HYPONATREMIA; INFANT; MAJOR CLINICAL STUDY; MALE; MEDICAL CARE; MEDICAL RECORD REVIEW; METABOLIC ACIDOSIS; MORTALITY; NEUROLOGIC DISEASE; OUTCOME ASSESSMENT; PEDIATRIC HOSPITAL; PH MEASUREMENT; POSTOPERATIVE PERIOD; PRESCHOOL CHILD; PREVALENCE; PRIORITY JOURNAL; RISK ASSESSMENT; SEDATION; SODIUM BLOOD LEVEL; CRITICAL ILLNESS; EMERGENCY TREATMENT; PATIENT CARE; RETROSPECTIVE STUDY;

CHILD; CHILD, HOSPITALIZED; CHILD, PRESCHOOL; CRITICAL ILLNESS; EMERGENCY TREATMENT; FEMALE; HUMANS; INFANT; MALE; PATIENT CARE TEAM; RETROSPECTIVE STUDIES;

EID: 48949100713     PISSN: 00314005     EISSN: 10984275     Source Type: Journal    
DOI: 10.1542/peds.2007-1584     Document Type: Article

References (32)

1. Buist MD, Jarmolowski E, Burton PR, Bernard SA, Waxman BP, Anderson J. Recognising clinical instability in hospital patients before cardiac arrest or unplanned admission to intensive care: a pilot study in a tertiary-care hospital. Med J Aust. 1999; 171(1):22-25
2. McGloin H, Adam SK, Singer M. Unexpected deaths and referrals to intensive care of patients on general wards: are some cases potentially avoidable? J R Coll Physicians Lond. 1999;33(3): 255-259
3. McQuillan P, Pilkington S, Allan A, et al. Confidential inquiry into quality of care before admission to intensive care. BMJ. 1998;316(7148):1853-1858
4. Wilson R, Runciman W, Gibberd R, Harrison BT, Newby L, Hamilton JD. The Quality in Australian Health Care Study. Med J Aust. 1995;163(9):458-471
5. Priestley G, Watson W, Rashidian A, et al. Introducing critical care outreach: a ward-randomised trial of phased introduction in a general hospital. Intensive Care Med. 2004;30(7):1398-1404
6. Bellomo R, Goldsmith D, Uchino S, et al. A prospective before- and-after trial of a medical emergency team. Med J Aust. 2003; 179(6):283-287
7. Buist MD, Moore GE, Bernard SA, Waxman BP, Anderson JN, Nguyen TV. Effects of a medical emergency team on reduction of incidence of and mortality from unexpected cardiac arrests in hospital: preliminary study. BMJ. 2002;324(7334):387-390
8. DeVita MA, Braithwaite RS, Mahidhara R, et al. Use of medical emergency team responses to reduce hospital cardiopulmonary arrests. Qual Saf Health Care. 2004;13(4):251-254
9. Jones D, Egi M, Bellomo R, Goldsmith D. Effect of the medical emergency team on long-term mortality following major surgery. Critical Care. 2007;11(1):R12
10. Hillman K, Chen J, Cretikos M, for the MERIT study investigators. Introduction of the medical emergency team (MET) system: a cluster-randomised controlled trial. Lancet. 2005; 365(9477):2091-2097
11. VandenBerg SD, Hutchison JS, Parshuram CS; Paediatric Early Warning System Investigators. A cross-sectional survey of levels of care and response mechanisms for evolving critical illness in hospitalized children. Pediatrics. 2007;119(4). Available at: www.pediatrics.org/cgi/content/ full/119/4/e940
12. Tibballs J, Kinney S, Duke T, Oakley E, Hennessy M. Reduction of paediatric in-patient cardiac arrest and death with a medical emergency team: preliminary results. Arch Dis Child. 2005; 90(11):1148-1152
13. Brilli RJ, Gibson R, Luria JW, et al. Implementation of a medical emergency team in a large pediatric teaching hospital prevents respiratory and cardiopulmonary arrests outside the intensive care unit. Pediatr Crit Care Med. 2007;8(3):236-246
14. Zaritsky A, Nadkarni V, Hazinski MF, et al. Recommended guidelines for uniform reporting of pediatric advanced life support: the pediatric Utstein style: a statement for healthcare professionals from a task force of the American Academy of Pediatrics, the American Heart Association, and the European Resuscitation Council Writing Group. Circulation. 1995;92(7): 2006-2020
15. Slater A, Shann F, McEniery J, for the ANZICS Study Group. The ANZPIC registry diagnostic codes: a system for coding reasons for admitting children to intensive care. Intensive Care Med. 2003;29(2):271-277
16. Nadkarni VM, Larkin GL, Peberdy MA, et al. First documented rhythm and clinical outcome from in-hospital cardiac arrest among children and adults. JAMA. 2006;295(1):50-57
17. Reis AG, Nadkarni V, Perondi MB, Grisi S, Berg RA. A prospective investigation into the epidemiology of in-hospital pe- diatric cardiopulmonary resuscitation using the international Utstein reporting style. Pediatrics. 2002;109(2):200-209
18. Tibballs J, Kinney S. A prospective study of outcome of inpatient paediatric cardiopulmonary arrest. Resuscitation. 2006; 71(3):310-318
19. Hutton JL, Colver AF, Mackie PC. Effect of severity of disability on survival in north east England cerebral palsy cohort. Arch Dis Childhood. 2000;83(6):468-474
20. Reddihough D, Baikie G, Walstab J. Cerebral palsy in Victoria, Australia: mortality and causes of death. J Paediatr Child Health. 2001;37(2):183-186
21. Bellomo R, Goldsmith D, Uchino S, et al. Prospective controlled trial of effect of medical emergency team on postoperative morbidity and mortality rates. Crit Care Med. 2004;32(4):916-921
22. Zenker P, Schlesinger A, Hauck, M, et al. Implementation and impact of a rapid response team in a children's hospital. Joint Comm J Qual Patient Saf. 2007;33(7):418-425
23. Jones D, Bellomo R, Bates S, et al. Long term effect of a medical emergency team on cardiac arrests in a teaching hospital. Crit- icalCare. 2005;9(6):R808-R815
24. Parr MJ, Hadfield JH, Flabouris A, Bishop G, Hillman K. The medical emergency team: 12 month analysis of reasons for activation, immediate outcome and not-for-resuscitation orders. Resuscitation. 2001;50(1):39-44
25. Jones D, Duke G, Green J, et al. Medical emergency team syndromes and an approach to their management. Crit Care. 2006;10(1):R30
26. Carcillo JA, Fields AI; American College of Critical Care Medicine Task Force Committee Members. Clinical practice parameters for hemodynamic support of pediatric and neonatal patients in septic shock. Crit Care Med. 2002;30(6): 1365-1378
27. Caffin CL, Linton S, Pellegrini J. Introduction of a liaison nurse role in a tertiary pediatric ICU. Intensive Crit Care Nursing. 2007; 23(4):226-233
28. Duke T, Kinney S, Waters K. Hyponatraemia and seizures in oncology patients associated with hypotonic intravenous fluids. J Paediatr Child Health. 2005;41(12):685-686
29. Galhotra S, DeVita MA, Simmons RL, Dew MA; Members of the Medical Emergency Response Improvement Team (MERIT) Committee. Mature rapid response system and potentially avoidable cardiopulmonary arrests in hospital. Qual Saf Health Care. 2007;16(4):260-265
30. Jones D, Baldwin I, McIntyre T, et al. Nurses' attitudes to a medical emergency team service in a teaching hospital. Qual Saf Health Care. 2006;15(6):427-432
31. Duncan H, Hutchison J, Parshuram CS. The pediatric early warning system score: a severity of illness score to predict urgent medical need in hospitalized children. J Crit Care. 2006; 21(3):271-278
32. Haines C, Perrott M, Weir P. Promoting care for acutely ill children-Development and evaluation of a paediatric early warning tool. Intensive Crit Care Nurs. 2006;22(2):73-81