Long-stay patients in the pediatric intensive care unit

Marcin, James P.; Slonim, Anthony D.; Pollack, Murray M.; Ruttimann, Urs E.

doi:10.1097/00003246-200103000-00035

Cited by 151 publications

(148 citation statements)

References 24 publications

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“…Entre os pacientes que foram a óbito, a maioria faleceu com mais de 24h de internação, com permanência média de 13,98 dias (p<0,001). Estudo realizado por Marcin et al 12 em UTI terciárias e não terciárias, evidenciou que o tempo de internação entre os pacientes que tiveram alta e os que foram a óbito foi o mesmo -em torno de cinco dias nas UTI terciárias e dois dias nas UTI não terciárias, período de internação menor do que aquele encontrado no presente estudo.…”

Section: Discussionunclassified

Perfil epidemiológico de dezesseis anos de uma unidade de terapia intensiva pediátrica

et al. 2002

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Descritores ResumoObjetivo Revisar e descrever os dados epidemiológicos dos pacientes admitidos em uma unidade de terapia pediátrica brasileira (UTIP) e compará-los aos aspectos clínicos associados aos índices de gravidade e mortalidade. Descrever as características desses pacientes, incluindo os dados demográficos, prevalência de doenças, índices de mortalidade e fatores associados. Métodos Os dados foram coletados retrospectivamente de todos os pacientes admitidos na UTIP de um hospital universitário entre 1978 e 1994. Os dados foram expressos em percentagens e comparados pelo teste qui-quadrado, calculando-se o risco relativo (RR) com um intervalo de confiança de 95%, considerando-se um p<0,05. Resultados Foram selecionados 13.101 pacientes -em sua maioria meninos (58,4%) -com doença clínica (73,1%), menores de 12 meses de idade (40,4%) e eutróficos (69,5%). O índice geral de mortalidade foi de 7,4%. Os pacientes menores de 12 meses de idade mostraram um RR de 1,86 (CI 1,65-2,10; p<0,0001), enquanto que a desnutrição mostrou um RR de 2,98 (IC 2,36; p<0,0001

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Section: Discussionunclassified

Perfil epidemiológico de dezesseis anos de uma unidade de terapia intensiva pediátrica

et al. 2002

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“…2 This situation exposes patients and their families to problems associated with prolonged hospital stays, such as nosocomial infections, and also psychological 3,4 and relationship disturbances in the family. For the hospital, prolonged bed occupation in…”

Section: Introductionmentioning

confidence: 99%

Alternativas de tratamento para pacientes pediátricos em ventilação mecânica crônica

Hanashiro¹,

Franco²,

Ferraro³

et al. 2011

J. Pediatr. (Rio J.)

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Objective: To determine the impact of transferring a pediatric population to mechanical ventilator dependency units (MVDUs) or to home mechanical ventilation (HMV) on bed availability in the pediatric intensive care unit (ICU).Methods: This is a longitudinal, retrospective study of hospitalized children who required prolonged mechanical ventilation at the MVDU located at the Hospital Auxiliar de Suzano, a secondary public hospital in São Paulo, Brazil. We calculated the number of days patients spent at MVDU and on HMV, and analyzed their survival rates with Kaplan-Meier estimator.Results: Forty-one patients were admitted to the MVDU in 7.3 years. Median length of stay in this unit was 239 days (interquartile range = 102-479). Of these patients, 22 came from the ICU, where their transfer made available 8,643 bed-days (a mean of 14 new patients per month). HMV of eight patients made 4,022 bed-days available in the hospital in 4 years (a mean of 12 new patients per month in the ICU). Survival rates of patients at home were not significantly different from those observed in hospitalized patients.

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“…The main diagnoses, according to the stratification by age group and development for discharge and death, are summarised in Table 2. The reason for admission to post-operative care was diagnosed in 149 cases involving abdominal (28), head and neck (3), cardiac (14), neurological (50), orthopaedic (25), and thoracic (29) surgeries. Neurological surgery was more frequent in patients over the age of 5 years old, with 15 cases between 5 and 10 years old and 18 cases in adolescents over 10 years old.…”

Section: Resultsmentioning

confidence: 99%

“…In a cross-sectional study including 32 consecutive PICU admissions, Marcin et al 25 noted that most of patients that had a prolonged stay (>12 days) in the unit were young children (45.5 months) with previous admissions in the sector who need long-term care, such as the use of gastrostomy, tracheostomy, dependence on mechanical ventilation and/or parenteral nutrition. Furthermore, this group of patients represented 2.1% to 8.1% of all admissions in the PICUs analysed.…”

Section: Resultsmentioning

confidence: 99%

Clinical-Epidemiological Profile of Hospitalised Patients in Paediatric Intensive Care Unit

Batista

Coelho

Trugilho

et al. 2015

J. Hum. Growth Dev.

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Introduction: Paediatric intensive care units have made important advances in technology and assistance since the 1980s, which have made more favourable the prognosis of critically ill children all over the world. Objective: Identify the epidemiological profile and clinical outcomes of hospitalised children and adolescents in the Paediatric Intensive Care Unit of Hospital Vitória, Espirito Santo, Brazil. Methods: A descriptive and retrospective study carried out in the Paediatric Intensive Care Unit of Hospital Infantil Nossa Senhora da Glória in the city of Vitória, Espirito Santo, Brazil. Age, sex, hospitalisation diagnosis, progression to discharge/death, and length of hospital admission were obtained from the Sector of Medical and Hospital Statistics Files between 2011 and 2012. For the descriptive analysis, categorical variables were expressed as absolute and percentage, and the continuous variables in average and standard deviation. For comparison, Pearson's chi-squared tests, Fisher's test, and Student's t test were used and p values <0.05 with confidence interval of 95% were considered statistically significant. Results: Of the 609 patients analysed, 342 (56.2%) were male (mean age: 72.7 ± 71.3 months). Respiratory disease, postoperative processes, and trauma were the main causes of hospitalisation. The average duration of hospitalization was 6.9 ± 5.5 days; 514 (84.4%) patients were discharged, 95 (15.6%) died, and of those, 53 (55.7%) died in less than 72 hours of hospitalisation. Conclusion: Most of the patients were less than 2 years of age. The leading causes of hospitalisation were respiratory disease (pneumonia, bronchiolitis, and asthma), sepsis, and head injury, which was the major cause of the trauma motivated by violence. The average hospital admission in the unit was one week and the mortality rate was 15.6%, with one third of the deaths recorded in the first 72 hours of hospitalisation.

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Long-stay patients in the pediatric intensive care unit

Cited by 151 publications

References 24 publications

Perfil epidemiológico de dezesseis anos de uma unidade de terapia intensiva pediátrica

Perfil epidemiológico de dezesseis anos de uma unidade de terapia intensiva pediátrica

Alternativas de tratamento para pacientes pediátricos em ventilação mecânica crônica

Clinical-Epidemiological Profile of Hospitalised Patients in Paediatric Intensive Care Unit

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