Abstract:Aim
The Paediatric High Dependency Audit was commissioned by the regional network to identify paediatric high dependency (PHD) activity within a specific region that has 4 funded HDU beds.
Method
Details of patients fulfilling the HDU criteria were collected on each site. The anonymised data was analysed centrally. Each site was visited by the lead nurse for quality purposes. Each patient fulfilling audit criteria was confirmed by the local investigator and final data checked by the lead nurse and lead clini… Show more
“…The Royal College of Paediatrics and Child Health has called for high dependency care to be given more focus, and previous studies have specifically emphasised training and organisational needs. 11 Our study adds weight to these requests and highlights the need for improved and standardised recording of critical care activities so that this trend can be reliably monitored over time. 11 …”
Section: Discussionmentioning
confidence: 75%
“… 11 Our study adds weight to these requests and highlights the need for improved and standardised recording of critical care activities so that this trend can be reliably monitored over time. 11 …”
ObjectiveTo determine trends in emergency admission rates requiring different levels of critical care in hospitals with and without a paediatric intensive care unit (PICU).DesignBirth cohort study created from Hospital Episode Statistics.SettingNational Health Service funded hospitals in England.Patients8 577 680 singleton children born between 1 May 2003 and 31 April 2017.Outcome measuresUsing procedure and diagnostic codes, we assigned indicators of high dependency care (eg, non-invasive ventilation) or intensive care (eg, invasive ventilation) to emergency admissions.InterventionsChildren were followed up until their fifth birthday to estimate high dependency and intensive care admission rates in hospitals with and without a PICU. We tested the yearly trend of high dependency and intensive care admissions to hospitals without a PICU using logistic regression models.ResultsEmergency admissions requiring high dependency care in hospitals without a PICU increased from 3.30 (95% CI 3.09 to 3.51) per 10 000 child-years in 2008/2009 to 7.58 (95% CI 7.28 to 7.89) in 2016/2017 and overtook hospitals with a PICU in 2015/2016. The odds of an admission requiring high dependency care to a hospital without a PICU compared with a hospital with a PICU increased by 9% per study year (OR 1.09, 95% CI 1.08 to 1.10). The same trend was not present for admissions requiring intensive care (OR 1.01, 95% CI 0.99 to 1.03).ConclusionsBetween 2008/2009 and 2016/2017, an increasing proportion of admissions with indicators of high dependency care took place in hospitals without a PICU.
“…The Royal College of Paediatrics and Child Health has called for high dependency care to be given more focus, and previous studies have specifically emphasised training and organisational needs. 11 Our study adds weight to these requests and highlights the need for improved and standardised recording of critical care activities so that this trend can be reliably monitored over time. 11 …”
Section: Discussionmentioning
confidence: 75%
“… 11 Our study adds weight to these requests and highlights the need for improved and standardised recording of critical care activities so that this trend can be reliably monitored over time. 11 …”
ObjectiveTo determine trends in emergency admission rates requiring different levels of critical care in hospitals with and without a paediatric intensive care unit (PICU).DesignBirth cohort study created from Hospital Episode Statistics.SettingNational Health Service funded hospitals in England.Patients8 577 680 singleton children born between 1 May 2003 and 31 April 2017.Outcome measuresUsing procedure and diagnostic codes, we assigned indicators of high dependency care (eg, non-invasive ventilation) or intensive care (eg, invasive ventilation) to emergency admissions.InterventionsChildren were followed up until their fifth birthday to estimate high dependency and intensive care admission rates in hospitals with and without a PICU. We tested the yearly trend of high dependency and intensive care admissions to hospitals without a PICU using logistic regression models.ResultsEmergency admissions requiring high dependency care in hospitals without a PICU increased from 3.30 (95% CI 3.09 to 3.51) per 10 000 child-years in 2008/2009 to 7.58 (95% CI 7.28 to 7.89) in 2016/2017 and overtook hospitals with a PICU in 2015/2016. The odds of an admission requiring high dependency care to a hospital without a PICU compared with a hospital with a PICU increased by 9% per study year (OR 1.09, 95% CI 1.08 to 1.10). The same trend was not present for admissions requiring intensive care (OR 1.01, 95% CI 0.99 to 1.03).ConclusionsBetween 2008/2009 and 2016/2017, an increasing proportion of admissions with indicators of high dependency care took place in hospitals without a PICU.
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