Aarti C Bavare
Baylor College of Medicine, USA
Title: Rapid Response to critical deterioration of pediatric cardiac patients: characteristics and outcomes
Biography
Biography: Aarti C Bavare
Abstract
The Rapid Response (RR) system is a multidisciplinary modality to detect, trigger and provide response to clinical decompensation of patients outside the Intensive Care Unit (ICU). There is growing evidence to support that early detection of physiologic deterioration and prompt response can decrease adverse outcomes i.e cardiopulmonary arrest or mortality.
Pediatric cardiac patients are highly vulnerable to decompensation needing emergent intervention and treatment. We sought to explore the frequency and pattern of utilization of RR by these patients and their outcomes.
We conducted a retrospective review study at a large tertiary care referral pediatric heart center. We reviewed 1906 RR events that occurred in our center over a period of three years. Out of these 152 occurred in cardiac patients. We reviewed the charts of the patients involved in these events with respect to the demographic characteristics, reason for RR event, interventions needed and outcomes thereafter.
The results provide useful insight into causes of acute clinical deterioration in pediatric cardiac patient population. The important observations made during this research will hopefully be a useful guide to direct initiatives to improve care and resource allocation to this high risk population.