An Impact Evaluation of a Newly Developed Pediatric Cardiac Intensive Care Unit

Welander, Michelle H.; Keller, Sheila D.; Northington, LaDonna

doi:10.1097/nur.0000000000000097

Cited by 2 publications

(2 citation statements)

References 15 publications

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“…The Cardiovascular Thoracic Anaesthesia and Intensive Care Society cardiac ICU. [1,10,16,17] The results of our analysis indicate that a cardiac-team-led ICU have a statistically significant impact on ICU and hospital length of stay. This outcome may be caused by the increased occurrence of postoperative complications in the surgeon-led ICU, which may have resulted in prolonged length of hospital and ICU stay.…”

Section: Discussionmentioning

confidence: 80%

Comparing Two Models of Pediatric Cardiac Care Establishment in a Developing Country

Kozan

2023

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Objectives: Multidisciplinary cardiac care is well known to lead to improved outcomes. In this study, two different organizational models (surgeonled and team-based units) for pediatric cardiac intensive care unit (ICU) located in a developing country setting and their early postoperative outcomes for patients with pediatric congenital heart disease were compared. Methods: A total of 246 infants and children who underwent surgery for congenital cardiac diseases were retrospectively analyzed. The correlations between the perioperative patient data of both models were analyzed and compared. The predictive factors for morbidity were calculated. Results: No significant difference was observed in the Society of Thoracic Surgeons-European Association for Cardio-Thoracic Surgery (STS-EACTS) mortality category and estimated mortality rate between groups. However, a statistically significant difference was observed in the STS-EACTS estimated postoperative length of stay and estimated major complication rate between groups. The extubation time and length of ICU stay varied significantly between groups. Conclusion:Compared with the surgeon-led model, the team-based model resulted in superior postoperative patient outcomes in terms of morbidity, shorter extubation time, and ICU length of stay. Thus, in developing countries, higher morbidity rather than mortality may be anticipated when undertaking congenital heart surgery in non-neonatal age groups without a multidisciplinary team to support the surgeon. Therefore, higher major complications can be expected when congenital heart surgery programs have to be established despite the lack of experienced staffing.

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Section: Discussionmentioning

confidence: 80%

Comparing Two Models of Pediatric Cardiac Care Establishment in a Developing Country

Kozan

2023

GKDA Derg

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“…12 A dedicated team dictating specialized intensive care in a defined unit has translated into better outcome. 16,[20][21][22][23] The team-oriented focus allows all members of the unit to have intellectual ownership in the heart program and contribute to the care of the child, thus exploiting the full advantage of each discipline.…”

Section: Models Of Paediatric Cardiac Intensive Care Unitmentioning

confidence: 99%

Establishing Pediatric Cardiac Intensive Care Unit in a Low Resource Setting: Bangladesh Perspective and Dhaka Shishu (Children) Hospital Paediatric Cardiac Intensive Care Unit Model

Hussain

Mamun

Hasan

et al. 2017

Bangladesh J Child Health

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An Impact Evaluation of a Newly Developed Pediatric Cardiac Intensive Care Unit

Abstract: This evaluation has provided organizational leaders the quality indicators and costs that have been impacted with the addition of interprofessional teamwork and coordination of care through the development of a PCICU.

Cited by 2 publications

References 15 publications

Comparing Two Models of Pediatric Cardiac Care Establishment in a Developing Country

Comparing Two Models of Pediatric Cardiac Care Establishment in a Developing Country

Establishing Pediatric Cardiac Intensive Care Unit in a Low Resource Setting: Bangladesh Perspective and Dhaka Shishu (Children) Hospital Paediatric Cardiac Intensive Care Unit Model

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