Improved outcomes after implementation of a specialized pediatric cardiac rapid response team
| Autor: | Angela S. McKeta, Jason R. Buckley, Anthony M. Hlavacek, Shahryar M. Chowdhury, Mark A. Scheurer, Eric M. Graham, Sinai C. Zyblewski |
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| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Stepdown unit Arrest rate 030204 cardiovascular system & hematology Article Patient care 03 medical and health sciences 0302 clinical medicine 030225 pediatrics medicine Humans Hospital Mortality Child Rapid response team Inpatients business.industry General Medicine Heart Arrest Intensive Care Units Cardiac stepdown unit Pediatrics Perinatology and Child Health Emergency medicine cardiovascular system Coronary care unit Cardiology and Cardiovascular Medicine business Pediatric cardiology Hospital Rapid Response Team |
| Zdroj: | Cardiol Young |
| ISSN: | 1467-1107 1047-9511 |
| Popis: | Introduction:The efficacy of a specialized pediatric cardiac rapid response team is unknown. We hypothesized that a specialized cardiac rapid response team would facilitate team-wide communication between the cardiac stepdown unit and cardiac intensive care unit (ICU) teams and improve patient care.Materials and methods:A specialized pediatric cardiac rapid response team was implemented in June 2015. All pediatric cardiac rapid response team activations and outcomes from implementation through December 2018 were reviewed. Cardiac arrests and unplanned transfers to the cardiac ICU were indexed to 1000 patient-days to account for inpatient volume trends and evaluated over time.Results:There were 202 cardiac rapid response team activations in 108 unique patients during the study period. After implementation of the pediatric cardiac rapid response team, unplanned transfers from the cardiac stepdown unit to the cardiac ICU decreased from 16.8 to 7.1 transfers per 1000 patient days (p = 0.012). The stepdown unit cardiac arrest rate decreased from 1.2 to 0.0 arrests per 1000 patient-days (p = 0.015). There was one death on the cardiac stepdown unit in the 5 years since the implementation of the cardiac rapid response team, compared to four deaths in the previous 5 years.Conclusions:A reduction in unplanned cardiac ICU transfers, cardiac arrests, and mortality on the cardiac stepdown unit has been observed since the implementation of a specialized pediatric cardiac rapid response team. A specialized cardiac rapid response team may improve communication and empower the interdisciplinary care team to escalate care for patients experiencing clinical decline. |
| Databáze: | OpenAIRE |
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