Abstract P211: Evaluation and Outcomes of Emergency Response Systems for Pediatric Patients
OBJECTIVE: Limited data exists evaluating activation and outcomes of Emergency Response Systems (ERS) including rapid response teams in pediatric patients. We aimed to describe reason for ERS activation and outcomes in a pediatric population.
METHODS: Cohort study at an 85-pediatric bed academic hospital in Rochester, MN. ERS were activated using standard criteria and were available at all times to assess, treat, and triage decompensating pediatric inpatients.
RESULTS: There were a total of 30 ERS activations over 1 year period (2008–2009). These calls were for 26 patients, with a median age of 9.5 years (IQR 1 to 14), 13 males (50.0%). A total of 25 calls (83.3%) were for patients in non-monitored beds, 2 in radiology or procedure rooms, and 3 were visitors. Reasons for activation were: respiratory distress 26.7%, altered consciousness 23.3%, and seizure 13.3%. (Table 1⇓) The initial cardiac rhythm was sinus tachycardia in 46.7%, sinus rhythm in 26.7%, and sinus bradycardia in 10%. After the ERS intervention, 14 (46.7%) were transferred to the pediatric critical care unit, including 1 patient with an anaphylactic reaction, 12 (40.0%) had no change in location, 3 (10%) were subsequently evaluated in the Emergency Department, and 1 patient died. In 24 patients (92.3%) there was no change in the Pediatric Overall Performance Category, 1 patient (3.9%) had change from good overall performance to mild overall disability, and 1 child (3.9%) went from moderate overall performance to death.
CONCLUSION: Common reasons for activation of Emergency Response Systems were respiratory distress and altered consciousness. Half of the patients will be transferred to a critical care service. Most of the children will not have a change in their Pediatric Overall Performance Category Scale.