TABLE 1

Comparison Between MET Event Characteristics at PMH and the American Heart Association’s GWTG-R Registry Data

PMHGWTG-R
Population characteristics
 Median age, y (IQR)3.5 (0.96–8.98)3.0 (0.0–11)
 Boys, % (95% CI)55 (48.1–61.9)54 (52.4–55.6)
MET activation time of day, % (95% CI)
 Daytime (07:00–22:59)72 (65.7–78.3)67 (65.5–68.5)
Most common MET activation triggers, % (95% CI)
 Tachycardia53 (46–60)18 (16.8–19.2)
 Tachypnea44 (37.1–50.9)23 (21.3–24.4)
 Desaturation42 (35.1–48.9)32 (30.5–33.5)
 Drop in GCS36 (29.3–42.7)20 (18.7–21.3)
 Increased work of breathing28 (21.7–34.3)26 (24.6–27.4)
 High CEWT score24 (18–30)NA
 Concern by staff12 (7.5–16.5)24 (22.6–25.4)
 Seizures15 (10–20)14 (12.9–15.1)
Most common MET interventions, % (95% CI)
 Oxygen63 (56.3–69.7)60 (58.4–61.6)
 Analgesia12 (7.5–16.5)NA
 Blood tests26 (19.9–32.1)NA
 Observation only19 (13.5–24.5)10 (9–11)
 Intravenous fluids22 (16.2–27.8)21 (19.7–22.3)
 CPR9 (5–13)8 (7.1–8.9)
MET outcomes, % (95% CI)
 PICU admission24 (18–30)52 (50.4–53.6)
 Stayed in the ward73 (66.8–79.2)40 (38.4–41.6)
 Died during MET event1 (0–2.4); n = 20.1 (0.7–1.3); n = 5
 Declared DNAR during MET event05 (4.3–5.7)
  • CI, confidence interval; CPR, cardiopulmonary resuscitation; DNAR, do not attempt resuscitation; GCS, Glasgow Coma Scale; IQR, interquartile range; NA, not applicable.