Prolonged stay in pediatric intensive care units: Mortality and healthcare resource consumption;Ingreso prolongado en la unidad de cuidados intensivos pediátricos: mortalidad y consumo de recursos asistenciales

Medicina Intensiva

Volumn 35, Issue 7, 2011, Pages 417-423

  Gonzalez Cortes R ^a   Lopez Herce Cid J ^a   Garcia Figueruelo A ^a   Tesorero Carcedo, G ^a   Botran Prieto M ^a   Carrillo Alvarez A ^a  

^a HOSPITAL GENERAL UNIVERSITARIO GREGORIO MARAÑÓN   (Spain)

Author keywords

Critically ill children; Health resources; Length of stay; Mortality; Nosocomial infection; Pediatric intensive care unit; Tracheostomy; Treatment withdrawal

Indexed keywords

ARTICLE; ARTIFICIAL VENTILATION; CHILD; CHILDHOOD MORTALITY; EXTRACORPOREAL OXYGENATION; HEALTH CARE; HEALTH CARE PLANNING; HEALTH CARE UTILIZATION; HIGH RISK POPULATION; HOSPITAL; HOSPITAL INFECTION; HUMAN; INCIDENCE; INTENSIVE CARE UNIT; LENGTH OF STAY; MAJOR CLINICAL STUDY; MORBIDITY; RETROSPECTIVE STUDY;

ADOLESCENT; BLOOD TRANSFUSION; CAUSE OF DEATH; CHILD; CHILD, PRESCHOOL; CONGENITAL ABNORMALITIES; CRITICAL ILLNESS; CROSS INFECTION; DRUG UTILIZATION; FEMALE; HEALTH RESOURCES; HOSPITAL MORTALITY; HOSPITALS, GENERAL; HOSPITALS, UNIVERSITY; HUMANS; INFANT; INFANT, NEWBORN; INTENSIVE CARE UNITS; LENGTH OF STAY; MALE; PEDIATRICS; POSTOPERATIVE COMPLICATIONS; RESPIRATION, ARTIFICIAL; RETROSPECTIVE STUDIES; SPAIN; WITHHOLDING TREATMENT;

EID: 80052261940     PISSN: 02105691     EISSN: 15786749     Source Type: Journal    
DOI: 10.1016/j.medin.2011.04.004     Document Type: Article

References (35)

1. Briassoulis G., Filippou O., Natsi L., Mavrikiou M., Hatzis T. Acute and chronic paediatric intensive care patients: current trends and perspectives on resource utilization. QJM 2004, 97:507-518.
2. Martin C.M., Hill A.D., Burns K., Chen L.M. Characteristics and outcomes for critically ill patients with prolonged intensive care unit stays. Crit Care Med 2005, 33:1922-1927.
3. Naghib S., Van der Starre C., Gischler S.J., Joosten K.F.M., Tibboel D. Mortality in very long-stay pediatric intensive care unit patients and incidence of withdrawal of treatment. Intensive Care Med 2010, 36:131-136.
4. Sachdeva R.C., Jefferson L.S., Coss-Bu J., Brody B.A. Resource consumption and the extent of futile care among patients in a pediatric intensive care unit setting. J Pediatr 1996, 128:742-747.
5. Marcin JP, Slonim AD, Pollack MM, Ruttimann UE. Long-stay patients in the pediatric intensive care unit. Crit Care Med. 200;29:652-7.
6. Parkman S.E., Woods S.L. Infants who have undergone cardiac surgery: what can we learn about lengths of stay in the hospital and presence of complications?. J Pediatr Nurs 2005, 20:430-440.
7. Ruttimann U.E., Pollack M.M. Variability in duration of stay in pediatric intensive care units: a multiinstitutional study. J Pediatr 1996, 128:35-44.
8. Goh A.Y., Mok Q. Identifying futility in a paediatric critical care setting: a prospective observational study. Arch Dis Child 2001, 84:265-268.
9. Gillespie M., Kuijpers M., Van Rossem M., Ravishankar C., Gaynor J.W., Spray T., et al. Determinants of intensive care unit length of stay for infants undergoing cardiac surgery. Congenit Heart Dis 2006, 1:152-160.
10. Van der Heide P., Hassing M.B.F., Gemke R.J.B.J. Characteristics and outcome of long-stay patients in a paediatric intensive care unit: a case-control study. Acta Paediatr 2004, 93:1070-1074.
11. Auburtin B., Saizou C., Dauger S., Hartmann J.F., Mercier J.C., Beaufils F. Les séjours prolongés en réanimatión pédiatrique. Analyse rétrospective de 100 séjours. Arch Pediatr 2001, 8:158-165.
12. López-Herce Cid J., Leyton Avilés P., Urbano Villaescusa J., Cidoncha Escobar E., Del Castillo Peral J., Carrillo Alvarez A., et al. Factores de riesgo de la ventilación mecánica prolongada de niños con cirugía cardiaca. Med Intensiva 2008, 32:369-377.
13. Parrilla C., Scarano E., Guidi M.L., Galli J., Paludetti G. Current trends in paediatric tracheostomies. Int J Pediatr Otorhinolaryngol 2007, 71:1563-1567.
14. Principi T, Morrison GC, Matsui DM, Speechley KN, Seabrook JA, Singh RN, et al. Elective tracheostomy in mechanically ventilated children in Canada. Intensive Care Med. 200;34:1498-502.
15. Scales D.C., Thiruchelvam D., Kiss A., Redelmeier D.A. The effect of tracheostomy timing during critical illness on long-term survival. Crit Care Med 2008, 36:2547-2557.
16. Conlon N.P., Breatnach C., O'Hare B.P., Mannion D.W., Lyons B.J. Health-related quality of life after prolonged pediatric intensive care unit stay. Pediatr Crit Care Med 2009, 10:41-44.
17. Griffiths J., Barber V.S., Morgan L., Young J.D. Systematic review and meta-analysis of studies of the timing of tracheostomy in adult patients undergoing artificial ventilation. BMJ 2005, 330:1243.
18. Terragni P.P., Antonelli M., Fumagalli R., Faggiano C., Berardino M., Pallavicini F.B., et al. Early vs late tracheotomy for prevention of pneumonia in mechanically ventilated adult ICU patients: a randomized controlled trial. JAMA 2010, 303:1483-1489.
19. Urrea M., Pons M., Serra M., Latorre C., Palomeque A. Prospective incidence study of nosocomial infections in a pediatric intensive care unit. Pediatr Infect Dis J 2003, 22:490-494.
20. Mireya UA, Martí PO, Xavier KV, Cristina LO, Miguel MM, Magda CM. Nosocomial infections in paediatric and neonatal intensive care units. J Infect. 200;54:212-20.
21. Stover B.H., Shulman S.T., Bratcher D.F., Brady M.T., Levine G.L., Jarvis W.R. Nosocomial infection rates in US children's hospitals' neonatal and pediatric intensive care units. Am J Infect Control 2001, 29:152-157.
22. Elward A.M., Warren D.K., Fraser V.J. Ventilator-associated pneumonia in pediatric intensive care unit patients: risk factors and outcomes. Pediatrics 2002, 109:758-764.
23. Bigham M.T., Amato R., Bondurrant P., Fridriksson J., Krawczeski C.D., Raake J., et al. Ventilator-associated pneumonia in the pediatric intensive care unit: characterizing the problem and implementing a sustainable solution. J Pediatr 2009, 154. 582-387.e2.
24. Brown K.L., Ridout D.A., Goldman A.P., Hoskote A., Penny D.J. Risk factors for long intensive care unit stay after cardiopulmonary bypass in children. Crit Care Med 2003, 31:28-33.
25. García-Teresa M.A., Casado-Flores J., Delgado Domínguez M.A., Roqueta-Mas J., Cambra-Lasaosa F., Concha-Torre A., et al. Infectious complications of percutaneous central venous catheterization in pediatric patients: a Spanish multicenter study. Intensive Care Med 2007, 33:466-476.
26. Guardia Camí M.T., Jordan García I., Urrea Ayala M. Infección nosocomial en postoperados de cirugía cardiaca. An Pediatr (Barc) 2008, 69:34-38.
27. Principi N., Esposito S. Ventilator-associated pneumonia (VAP) in pediatric intensive care units. Pediatr Infect Dis J 2007, 26:841-843.
28. Parker G., Bhakta P., Lovett C., Olsen R., Paisley S., Turner D. Paediatric home care: a systematic review of randomized trials on costs and effectiveness. J Health Serv Res Policy 2006, 11:110-119.
29. Kanter R.K. Post-intensive care unit pediatric hospital stay and estimated costs. Crit Care Med 2000, 28:220-223.
30. Tearl D.K., Cox T.J., Hertzog J.H. Hospital discharge of respiratory-technology-dependent children: role of a dedicated respiratory care discharge coordinator. Respir Care 2006, 51:744-749.
31. Raymond J.A. The integration of children dependent on medical technology into public schools. J Sch Nurs 2009, 25:186-194.
32. Lewis M., Noyes J. Discharge management for children with complex needs. Paediatr Nurs 2007, 19:26-30.
33. Pollack M.M., Wilkinson J.D., Glass N.L. Long-stay pediatric intensive care unit patients: outcome and resource utilization. Pediatrics 1987, 80:855-860.
34. Sprung C.L., Cohen S.L., Sjokvist P., Baras M., Bulow H., Hovilehto S., et al. End-of-life practices in European intensive care units: the Ethicus Study. JAMA 2003, 290:790-797.
35. Goh A.Y., Lum L.C., Chan P.W., Bakar F., Chong B.O. Withdrawal and limitation of life support in paediatric intensive care. Arch Dis Child 1999, 80:424-428.