Changing patterns in paediatric medical emergency team (MET) activations over 20 years in a single specialist paediatric hospital
Background: The Medical Emergency Team (MET) model was first introduced in the early 1990s and aimed to intervene at an earlier stage of patient clinical deterioration. This study aimed to describe the changes in patient demographics, patterns of activation and clinical outcomes of MET activations a...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2020-09-01
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| Series: | Resuscitation Plus |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666520420300254 |
| _version_ | 1818563619358507008 |
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| author | Jason Acworth Louise Dodson Elliott Acworth Julie McEniery |
| author_facet | Jason Acworth Louise Dodson Elliott Acworth Julie McEniery |
| author_sort | Jason Acworth |
| collection | DOAJ |
| description | Background: The Medical Emergency Team (MET) model was first introduced in the early 1990s and aimed to intervene at an earlier stage of patient clinical deterioration. This study aimed to describe the changes in patient demographics, patterns of activation and clinical outcomes of MET activations at our specialist paediatric hospital across a 20-year period providing the longest duration Medical Emergency Team data set published to date. Methods: This single-centre observational study prospectively collected data about MET events at a single specialist paediatric hospital in Australia from 1995 to 2014. Patient demographics, activation patterns and clinical outcomes from MET activations were analysed for the 20-year period. Results: 771 MET events were included in analysis. Most MET events involved children aged <5 years (median age 36 months) with decreased incidence on weekends and night shift. The most frequent reasons stated for MET activation were seizure and respiratory compromise and the most commonly recorded MET interventions were bag-valve-mask ventilation and intravascular access. There was an increase in MET event frequency (MET events per 1000 hospital separations) in the second decade of the service compared to the first (3.25 vs 1.42, p < 0.001) with fewer events for cardiopulmonary arrest but more for respiratory, cardiovascular or neurological compromise. Conclusions: This study describes the longest duration MET data set published to date. The 20-year span of data demonstrates increased utilisation of the MET system and activation for patients earlier in their deterioration. The data should inform both health service planning and educational requirements for MET providers. |
| first_indexed | 2024-12-14T01:18:46Z |
| format | Article |
| id | doaj.art-7d220d1bfeac4c128f2b0f6da2394a74 |
| institution | Directory Open Access Journal |
| issn | 2666-5204 |
| language | English |
| last_indexed | 2024-12-14T01:18:46Z |
| publishDate | 2020-09-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Resuscitation Plus |
| spelling | doaj.art-7d220d1bfeac4c128f2b0f6da2394a742022-12-21T23:22:30ZengElsevierResuscitation Plus2666-52042020-09-013100025Changing patterns in paediatric medical emergency team (MET) activations over 20 years in a single specialist paediatric hospitalJason Acworth0Louise Dodson1Elliott Acworth2Julie McEniery3Queensland Children’s Hospital, 501 Stanley St, South Brisbane, Queensland, 4101, Australia; Faculty of Medicine, University of Queensland, Herston Rd, Herston, Queensland, 4006, Australia; Corresponding author. Faculty of Medicine, University of Queensland, Medical Lead, Rapid Response System, QueenslandChildren’s Hospital, 501 Stanley St, South Brisbane, QLD, 4101, Australia.Queensland Children’s Hospital, 501 Stanley St, South Brisbane, Queensland, 4101, AustraliaFaculty of Medicine, University of Queensland, Herston Rd, Herston, Queensland, 4006, AustraliaQueensland Children’s Hospital, 501 Stanley St, South Brisbane, Queensland, 4101, AustraliaBackground: The Medical Emergency Team (MET) model was first introduced in the early 1990s and aimed to intervene at an earlier stage of patient clinical deterioration. This study aimed to describe the changes in patient demographics, patterns of activation and clinical outcomes of MET activations at our specialist paediatric hospital across a 20-year period providing the longest duration Medical Emergency Team data set published to date. Methods: This single-centre observational study prospectively collected data about MET events at a single specialist paediatric hospital in Australia from 1995 to 2014. Patient demographics, activation patterns and clinical outcomes from MET activations were analysed for the 20-year period. Results: 771 MET events were included in analysis. Most MET events involved children aged <5 years (median age 36 months) with decreased incidence on weekends and night shift. The most frequent reasons stated for MET activation were seizure and respiratory compromise and the most commonly recorded MET interventions were bag-valve-mask ventilation and intravascular access. There was an increase in MET event frequency (MET events per 1000 hospital separations) in the second decade of the service compared to the first (3.25 vs 1.42, p < 0.001) with fewer events for cardiopulmonary arrest but more for respiratory, cardiovascular or neurological compromise. Conclusions: This study describes the longest duration MET data set published to date. The 20-year span of data demonstrates increased utilisation of the MET system and activation for patients earlier in their deterioration. The data should inform both health service planning and educational requirements for MET providers.http://www.sciencedirect.com/science/article/pii/S2666520420300254Rapid response teamMedical emergency teamPaediatricClinical deterioration |
| spellingShingle | Jason Acworth Louise Dodson Elliott Acworth Julie McEniery Changing patterns in paediatric medical emergency team (MET) activations over 20 years in a single specialist paediatric hospital Resuscitation Plus Rapid response team Medical emergency team Paediatric Clinical deterioration |
| title | Changing patterns in paediatric medical emergency team (MET) activations over 20 years in a single specialist paediatric hospital |
| title_full | Changing patterns in paediatric medical emergency team (MET) activations over 20 years in a single specialist paediatric hospital |
| title_fullStr | Changing patterns in paediatric medical emergency team (MET) activations over 20 years in a single specialist paediatric hospital |
| title_full_unstemmed | Changing patterns in paediatric medical emergency team (MET) activations over 20 years in a single specialist paediatric hospital |
| title_short | Changing patterns in paediatric medical emergency team (MET) activations over 20 years in a single specialist paediatric hospital |
| title_sort | changing patterns in paediatric medical emergency team met activations over 20 years in a single specialist paediatric hospital |
| topic | Rapid response team Medical emergency team Paediatric Clinical deterioration |
| url | http://www.sciencedirect.com/science/article/pii/S2666520420300254 |
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