Evidence map›Paper›PMID 28978554›Full record

ArticleCirculation2018

Association of Pediatric Medical Emergency Teams With Hospital Mortality.

Shelby Kutty, Philip G Jones, Quentin Karels, Navya Joseph, John A Spertus, Paul S Chan

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Circulation, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Guideline
  2. Guideline
  3. Pooled it
  4. Article
  5. Article
  6. Article
  7. Association of Rapid Response Teams With Hospital Mortality in Medicare Patients.Circulation. Cardiovascular quality and outcomes · 2022
    Article
  8. Review
  9. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Shelby KuttyDivision of Cardiology, Department of Pediatrics, Children's Hospital and Medical Center, University of Nebraska Medical Center, and Creighton University (S.K.).
Philip G JonesDivision of Cardiology, Department of Pediatrics, University of Nebraska Medical Center and Children's Hospital of Omaha (Q.K., N.J.).
Quentin KarelsDivision of Cardiology, Department of Pediatrics, Children's Hospital and Medical Center, University of Nebraska Medical Center, and Creighton University (S.K.).
Navya JosephDivision of Cardiology, Department of Pediatrics, Children's Hospital and Medical Center, University of Nebraska Medical Center, and Creighton University (S.K.).
John A SpertusDivision of Cardiology, Department of Pediatrics, University of Nebraska Medical Center and Children's Hospital of Omaha (Q.K., N.J.).
Paul S ChanDivision of Cardiology, Department of Pediatrics, University of Nebraska Medical Center and Children's Hospital of Omaha (Q.K., N.J.) pchan@saint-lukes.org.

Funding

Hospital Enhancement of Resuscitation Outcomes for In-Hospital Cardiac Arrest (HER01HL123980 · NHLBI · SAINT LUKE'S HOSPITAL · PI CHAN, PAUL SHEUNG-YAN, NALLAMOTHU, BRAHMAJEE K · 2014 to 2018
$2.7M
Targeted and Non-targeted Microbubbles for Pediatric ApplicationsR41HD089823 · NICHD · NUVOX PHARMA, LLC · PI KUTTY, SHELBY, UNGER, EVAN CHARLES · 2016 to 2016
$243k
NHLBI NIH HHS R01 HL123980NICHD NIH HHS R41 HD089823
6 · The paper itself

Abstract

backgroundImplementation of medical emergency teams has been identified as a potential strategy to reduce hospital deaths, because these teams respond to patients with acute physiological decline in an effort to prevent in-hospital cardiac arrest. However, prior studies of the association between medical emergency teams and hospital mortality have been limited and typically have not accounted for preimplementation mortality trends.

methodsWithin the Pediatric Health Information System for freestanding pediatric hospitals, annual risk-adjusted mortality rates were calculated for sites between 2000 and 2015. A random slopes interrupted time series analysis then examined whether implementation of a medical emergency team was associated with lower-than-expected mortality rates based on preimplementation trends.

resultsAcross 38 pediatric hospitals, mean annual hospital admission volume was 15 854 (range, 6684-33 024), and there were a total of 1 659 059 hospitalizations preimplementation and 4 392 392 hospitalizations postimplementation. Before medical emergency team implementation, hospital mortality decreased by 6.0% annually (odds ratio [OR], 0.94; 95% confidence interval [CI], 0.92-0.96) across all hospitals. After medical emergency team implementation, hospital mortality continued to decrease by 6% annually (OR, 0.94; 95% CI, 0.93-0.95), with no deepening of the mortality slope (ie, not lower OR) in comparison with the preimplementation trend, for the overall cohort (

conclusionsImplementation of medical emergency teams in a large sample of pediatric hospitals in the United States was not associated with a reduction in hospital mortality beyond existing preimplementation trends.

Indexed as

Databases, FactualDeath, Sudden, CardiacEmergency Service, HospitalHospital MortalityHospital Rapid Response TeamHospitals, PediatricHumansProgram EvaluationRisk AssessmentRisk FactorsTime FactorsTime-to-TreatmentTreatment OutcomeUnited Statesemergency medicineheart arresthospital mortalityhospital rapid response teamhospitals, pediatric

Identifiers

PMID28978554
PMCPMC5839663

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.