Characteristics of adolescents requiring intensive care in the United Kingdom: A retrospective cohort study

Wood, Dora; Goodwin, Sarah; Pappachan, John; Davis, Peter J.; Parslow, Roger; Harrison, David A; Ramnarayan, Padmanabhan

doi:10.1177/1751143717746047

Cited by 12 publications

(9 citation statements)

References 5 publications

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“…Among the 18-year-old age group of patients, 36 emergency cases reported the most common conditions of flame burn (10), intestinal obstruction (8), and 68 OPD cases with the most frequent indication of fibroadenoma (20) and sebaceous cyst (10). While in the age group of 19 years, emergency cases were 32, with the most common cause of visit being flame burn (10), hollow viscus perforation (7), and 60 OPD cases with the most common indication of a sebaceous cyst ( 9), cholelithiasis (6), and fibroadenoma (6).…”

Section: Discussionmentioning

confidence: 99%

Exploring the Landscape of General Surgery in the Adolescent Age Group: Challenges and Considerations

Saw,

Murari,

Kerketta

et al. 2024

Cureus

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Introduction: The adolescent age group typically ranges from 10 to 19 years. This age group differs from the paediatric and adult populations based on their physiological, psychological, and social behaviour. Patients of this age group usually present with trauma, swellings, burns, hernias, hydroceles, haemorrhoids, fibroadenomas, abscesses, pilonidal diseases, etc. The objective of this study was to identify various causes requiring surgical intervention in adolescent patients and to determine the demography of these patients, reasons for surgery, and surgical outcomes in the patients of the adolescent age group. Materials and methods: This single-centre, hospital record-based, retrospective, cross-sectional study was conducted on 445 adolescent patients who underwent various general surgical interventions from August 2022 to July 2023 in the

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Section: Discussionmentioning

confidence: 99%

Exploring the Landscape of General Surgery in the Adolescent Age Group: Challenges and Considerations

Saw,

Murari,

Kerketta

et al. 2024

Cureus

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“…A previous comparison of 12-to 19year-old patients admitted to adult vs PICUs in the United Kingdom found similar mortality rates in both groups. 23 Conversely, other diseases are largely unique to pediatrics, and children suffering from these often have complex needs requiring extensive expertise that will be lacking in adult ICUs. A summary of relevant diagnoses is found on Table 3.…”

Section: Q9mentioning

confidence: 99%

PICU in the MICU

King

Matos

Hamele

et al. 2022

Chest

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“…Nowadays, attempts to fill this gap through the training of pICU specialists continue rapidly, and the number of newly opened PICUs is increasing. In hospitals without a pICU, CIPPs are still cared for by anaesthesiology and reanimation specialists (ARSs) in the aICU (4,5). According to the current data of the Ministry of Health of the Republic of Turkey, the average number of beds in the aICU is 32.663, and the number of beds in the pICU is 1.956 (17%) (5).…”

Section: Introductionmentioning

confidence: 99%

Evaluation of Critically Ill Paediatric Patients in the Adult ICU

Sevdi

Müslümanoğlu

2022

Iran J Pediatr

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Background: Critically ill paediatric patient (CIPP) care may be required in the adult intensive care unit (aICU) of hospitals in cases where there is no paediatric intensive care unit (pICU) or when the pICU bed capacity is insufficient. Objectives: This is a retrospective evaluation of CIPPs who were accommodated in aICUs over the last 10 years to determine the type of hospital admission, indications for hospitalization, presence of comorbidities, treatments, causes of mortality, and effects of these parameters on mortality. Methods: We retrospectively analysed the medical records of 600 patients aged 28 days to 17 years who had been cared for at least 24 hours in aICUs between 2011 and 2021. Results: The average age of the CIPPs ((252 female (42%), 348 male (58%)) was 6 (7.4 ± 5.4) years. The mortality rate was 14.7%, and trauma (31.8%) was the most common cause of mortality, followed by respiratory diseases and septic shock. The independent risk factors found to be associated with mortality were as follows: Lower age, admission to ICUs from emergency departments of hospitals, higher Pediatric Risk of Mortality III and Pediatric Logistic Organ Dysfunction II scores, duration of hospital stay and of mechanical ventilation, vasopressor/inotropic agent requirement in the first 24 hours, higher total transfusion requirement, presence of nosocomial infection, thrombocytopenia, and lower haemoglobin level. Conclusions: It is important to achieve the best results and better outcomes for CIPPs in pICUs. However, a significant proportion of CIPPs currently hospitalized in aICUs are admitted with trauma. A close follow-up of mortality scores and clinical parameters in the early period of CIPP care in the aICU is critical as some mortality risk factors are preventable.

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Characteristics of adolescents requiring intensive care in the United Kingdom: A retrospective cohort study

Cited by 12 publications

References 5 publications

Exploring the Landscape of General Surgery in the Adolescent Age Group: Challenges and Considerations

Exploring the Landscape of General Surgery in the Adolescent Age Group: Challenges and Considerations

PICU in the MICU

Evaluation of Critically Ill Paediatric Patients in the Adult ICU

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