PICU admission | YES | NO | |||||
---|---|---|---|---|---|---|---|
Time from enrollment, hours | ≤ 6* | 7–12a | 13–18a | 19–24a | < 6–24a | At 24 | P value ** |
Patients, n (%) | 37 (37) | 13 (13) | 17 (17) | 32 (32) | 99 | 129 | |
Age, median (IQR), years | 1 (0–5) | 1 (0–5) | 1 (0–4) | 1 (0–7) | 1(0–5) | 1 (0–4) | 0.59 |
Maximum BedsidePEWS, median (IQR) | 10 (8–12) | 9 (7–11) | 9 (7–10) | 7 (7–8) | 10(8–13) | 9 (8–11) | 0.02 |
Chronic Disease, n (%) | 23 (62) | 8 (62) | 9 (53) | 22 (69) | 62(63) | 127 (98) | < 0.0001 |
Diagnosis, n (%) | < 0.0001 | ||||||
Haematology-Oncology, | 7 (19) | 2 (15) | 5 (29) | 10 (31) | 24(24) | 13(10) | |
Cardiac | - | 1 (7) | 2 (12) | 9 (28) | 12(9) | 12 (12) | |
Respiratory | 18 (49) | 7 (54) | 9 (53) | 11 (34) | 45(45) | 50 (39) | |
Neurological or Endocrine | 12 (3) | 3 (23) | 1(6) | 2 (6) | 18(18) | 12 (9) | |
CRIS | < 0.0001 | ||||||
(1–4) (Early) n (%) | 35 (95) | 11 (85) | 14 (82) | 26 (81) | 86 (87) | 129 | |
> = 5 (Late) n (%) | 2 (5) | 2 (15) | 3 (18) | 6 (19) | 13 (13) | 0 | |
Median (IQR) | 1 (1–2) | 1 (1–2) | 1 (1–2) | 1(1–3.5) | 1 (1–3) | 1(1–1) | < 0.0001 |
Recent transfer, n (%) | 21 (57) | 5 (38) | 7 (41) | 4 (13) | 37(54) | 31(46) | 0.03 |
ER < 24 h | 13 (35) | 2 (15) | 4 (24) | 1 (3) | |||
PICU readmissions < 48 h | 4 (11) | - | 1 (6) | 1 (3) | |||
Other | 4 (11) | 2 (15) | 2 (12) | 2 (6) | |||
PICU consult n (%) | 30 (81) | 13 (100) | 13 (76) | 27 (84) | 83(84) | < 0.0001 | |
Intubation n (%) | 1 (3) | 0 | 0 | 5 (16) | 6 (6) | 0 | 0.005 |
First EI score, median (IQR) | 6(4–7) | 5(4–6) | 4(3–5) | 4(2–4) | 5(4–6) | 2(4–4) | < 0.001 |
Ward Physician review < 2–4 h, n (%) | 29 (78) | 11(84) | 12(71) | 19(59) | 71(72) | 71(55) | 0.01 |
PICU consult < 6 h from first BedsidePEWS ≥ 7, n (%) | 30 (81) | 8(61) | 8(47) | 10(31) | 56(57) | 13(10) | < 0.0001 |
BedsidePEWS documentation hourly, n (%) | 19(62) | 5(38) | 3(19) | 3(9) | 30(32) | 17(13) | 0.001 |
ECG + SpO2, n (%) | 27(73) | 12(92) | 16(100) | 32(100) | 87(88) | 108() | 0.28 |
Escalation index (median, IQR) | 4 (2–4) | 3(2–4) | 4(3–5) | 4(2–6) | 6(5–7) | 4(3–5) | < 0.0001 |
Q: Would you have called for an urgent PICU consult for this patient | |||||||
Phisicians, median (IQR) | 10(10–10) | 10(10–10) | 10(9–10) | 10(8–10) | 10(9–10) | 5(2–8) | < 0.0001 |
Nurses, median (IQR) | 9(9–10) | 10(10–10) | 10(10–10) | 9(6–10) | 10(9–10) | 8.5(4–10) | 0.002 |
Q: How much would you have been surprised if this patient arrested during your shift | |||||||
Phisicians, median (IQR) | 6 (3.5–7) | 3(2–5) | 5(3–9) | 6(3–9) | 5(2–7) | 7(3–9) | 0.01 |
Nurses, median (IQR) | 4(2–6.5) | 4(2–7) | 4(2–7) | 4(2–7) | 4(2–7) | 3.5(2–6) | 0.59 |