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. 2020 Mar;9(1):27-33.
doi: 10.1055/s-0039-1695733. Epub 2019 Sep 2.

High Rate of Medical Emergency Team Activation in Children with Tracheostomy

Brianna L McKelvie  1 , Anna-Theresa Lobos  2 , Jason Chan  3 , Franco Momoli  3 , James Dayre McNally  2   3
Affiliations

High Rate of Medical Emergency Team Activation in Children with Tracheostomy

Brianna L McKelvie et al. J Pediatr Intensive Care. 2020 Mar.

Abstract

Pediatric in-patients with tracheostomy (PIT) are at high risk for clinical deterioration. Medical emergency teams (MET) have been developed to identify high-risk patients. This study compared MET activation rates between PITs and the general ward population. This was a retrospective cohort study conducted at a tertiary pediatric hospital. The primary outcome (MET activation) was obtained from a database. Between 2008 and 2014, the MET activation rate was significantly higher in the PIT group than the general ward population (14 vs. 2.9 per 100 admissions, p < 0.001). PITs are at significantly higher risk for MET activation. Strategies should be developed to reduce their risk on the wards.

Keywords: medical emergency team; rapid response system; tracheostomy.

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Conflict of interest statement

Conflict of Interest None declared.

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