Admission Source Is Associated With the Risk of Rapid Response Team Activation in a Children's Hospital.
Objective: To evaluate source of admission to a children's hospital as a predictor of rapid response team (RRT) activation, both in the first 48 hours of admission and over the entire hospitalization. METHODS: Retrospective cohort study of all patients admitted to the pediatric ward between March 1,...
| Publicado en: | Academic Pediatrics Vol. 22; no. 8; pp. 1477 - 1482 |
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| Autores principales: | , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Elsevier B.V.
Nov/Dec2022
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=160528341&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 160528341 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 18762859 8NBK jtl: Academic Pediatrics issn: 18762859 maglogo: N pubinfo: dt: Nov/Dec2022 vid: 22 iid: 8 pid: 467 pub: Elsevier B.V. place: New York, New York artinfo: ui: 160528341 160528341 160528341 10.1016/j.acap.2022.06.012 160528341 ppf: 1477 ppct: 5 formats: fmt: @attributes: type: P tig: atl: Admission Source Is Associated With the Risk of Rapid Response Team Activation in a Children's Hospital. aug: au: Kamzan, Audrey D. Tsoi, Stephanie Arslanian, Talin Myung Shin Sim Romero, Tahmineh Newcomer, Charles A. affil: David Geffen School of Medicine, Los Angeles, Calif sug: subj: Rapid Response Team Hospitals, Pediatric Patient Admission Evaluation Time Factors Child, Hospitalized Human Retrospective Design Prospective Studies Fisher's Exact Test Descriptive Statistics Odds Ratio ab: Objective: To evaluate source of admission to a children's hospital as a predictor of rapid response team (RRT) activation, both in the first 48 hours of admission and over the entire hospitalization. METHODS: Retrospective cohort study of all patients admitted to the pediatric ward between March 1, 2013 and December 31, 2015. Source of admission was categorized as from the emergency department, transfer from another hospital facility, admission following a planned surgery, direct admission planned in advance, or unplanned direct admission. Information was collected including whether or not the patient had a RRT activation and survival to discharge. A Fisher's exact test was used to assess the association between source of admission and risk of rapid response. Results: Of 8083 admissions included in the study, 194 had at least one RRT event. The odds of having an RRT was significantly associated with source of admission (P < .001). Using admission from the emergency department as a reference group. planned elective admissions (odds ratio [OR] 0.27: P < .001) and admissions following planned surgery (OR 0.07: P < .001) were significantly associated with reduced odds of having at least one RRT activation during the admission. Planned elective admissions also demonstrated reduced odds of RRT in the first 48 hours of hospitalization (OR 0.14: P = .002). Source of admission was also associated with sun rival to discharge (P < .05). Conclusion: Source of admission is associated with likelihood of RRT activation as well as with survival to discharge and should be considered by providers when assessing inpatient risk of decompensation. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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