Abstract P-012: A RETROSPECTIVE COHORT STUDY OF PEDIATRIC INTENSIVE CARE UNIT CONSULTATIONS IN THE PEDIATRIC EMERGENCY DEPARTMENT OF A TERTIARY CARE HOSPITAL

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Aims & Objectives: Acutely ill children in the Pediatric Emergency Department (PED) are sometimes evaluated for admission to the Pediatric Intensive Care Unit (PICU). This study describes the characteristics, trajectory and outcomes of a cohort of children who had a PICU consultation in the PED of a tertiary care hospital. Methods A retrospective chart review of patients who had a PICU consultation in the PED at the Children’s Hospital of Eastern Ontario (Ottawa, Canada) over a three-year period. Results Of 232 PICU consultations in the PED (58.2% male), 70 (30.2%) resulted in direct admission to PICU (median age 5.2 years, IQR 1.9 – 13.7 years) and 151 (65.1%) admissions to the ward (median age 4.1 years, IQR 1.3 – 10.5 years). One in five (19.9%) ward admissions had a Medical Emergency Team (MET) activation while hospitalized (median time to activation 11 hours 22 minutes, IQR 4 hours 5 minutes to 48 hours 15 minutes), and 22 (14.6%) required unplanned transfer to the PICU (median time to transfer 32 hours 8 minutes, IQR 7 hours 10 minutes to 4 days 23 hours 25 minutes). Median length of stay in PICU for these patients was 3 days (IQR 1 - 7 days) compared to 1 day (IQR 1 – 4 days) for patients admitted directly to PICU from the PED. Almost half (46.7%) of the MET activations occurred within 12 hours of admission. Conclusions Children in the PED who are evaluated for PICU admission but deemed suitable for the ward should be closely monitored by the MET.

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