Table 1. Baseline Characteristics of Intervention and Control Hospitals (N = 21).
Characteristic | BedsidePEWS | Usual Care |
---|---|---|
No. of hospitalsa | 10 | 11 |
No. of total beds | 5172 | 3169 |
No. of pediatric bedsb | 937 | 1148 |
<200, No. (%) | 8 (80) | 10 (91) |
≥200, No. (%) | 2 (20) | 1 (9) |
Hospital Services, No. (%) | ||
Rapid response team | 5 (50) | 4 (36) |
Affiliated with university | 8 (80) | 11 (100) |
Emergency department | 9 (90)c | 11 (100) |
Cardiopulmonary bypass | 5 (50) | 7 (64) |
Extracorporeal membrane oxygenation | 5 (50) | 8 (73) |
Solid organ transplant | 5 (50) | 7 (64) |
Bone marrow transplant | 4 (40) | 6 (55) |
Hospital Staffing | ||
Most senior ward physician in-house overnight, No. (%)d | ||
Pediatric-trained staff physician | 4 (40) | 3 (27) |
Fellow | 1 (10) | 3 (27) |
Resident | 5 (50) | 5 (45) |
Most senior ICU physician in-house overnight, No. (%) | ||
ICU staff physician | 2 (20) | 1 (9) |
ICU fellow | 5 (50) | 3 (27) |
Resident | 1 (10) | 7 (64) |
Emergency physicians available overnight, No. (%)e | 8 (80) | 8 (73) |
No. of full-time equivalent nurses | ||
<0.5 | 169 | 117 |
0.5-0.9 | 467 | 962 |
>0.9 | 749 | 1070 |
Hospital Volume, No. | ||
Patient dischargesf | 26 664 | 46 718 |
Patient-days | 129 700 | 162 497 |
ICU patient dischargesf | 1859 | 2599 |
Abbreviations: BedsidePEWS, Bedside Paediatric Early Warning System; ICU, intensive care unit.
Had a pediatric ICU, pediatric trainees, staff physicians for the pediatric ICU, and pediatric surgeons. All hospitals remained eligible throughout the course of the study.
Excluded ICU beds.
One hospital without an emergency department provided care to specialized patient populations and accepted patients from other facilities.
All had 1 or more physicians in-house continuously.
Included pediatric emergency physicians or other pediatric trainees.
Patients who were inpatients at the end of the baseline or intervention periods were regarded as discharged from the hospital.