Regionalization of Pediatric Critical Care

Yeh, Timothy S.

doi:10.1016/s0749-0704(18)30265-3

Cited by 25 publications

(4 citation statements)

References 7 publications

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“…PICU resources are expensive, and many have pushed for the need for regionalization and control of these resources in the United States. [8][9][10] Studies support the view that centralization of PICU services in large, tertiary centers leads to improved health outcomes when compared with fragmented, small units with limited tertiary pediatric services. [11][12][13] The volume of PICU patients has also been found to be inversely related to risk-adjusted mortality rates and patient length of stay.…”

mentioning

confidence: 99%

Growth of pediatric intensive care units in the United States from 1995 to 2001

Randolph¹,

Gonzales²,

Cortellini³

et al. 2004

The Journal of Pediatrics

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mentioning

confidence: 99%

Growth of pediatric intensive care units in the United States from 1995 to 2001

Randolph¹,

Gonzales²,

Cortellini³

et al. 2004

The Journal of Pediatrics

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“…Murray Pollack and Timothy Yeh established the basis for studying severity-adjusted mortality in pediatrics and demonstrated that patients do better when cared for by pediatric intensivists [86] Dr. Debra Fiser's group [87] has shown improvement in mortality associated with critical care in patients with a variety of respiratory diseases. Although many would attribute these improvements to technology and scientific advances, Dr. Yeh and others remind us that the presence of a full-time team and attention to basic principles rather than exotic high-technology improves outcomes [88]. This is echoed by Dr. Frank Shann, who has two rules of PCCM: Rule 1 is "the most important thing is to get the basics exactly right all of the time"; Rule 2 is "organizational issues are crucially important" [12].…”

Section: Growth In Training Programs and Educationmentioning

confidence: 99%

History of pediatric critical care medicine

Levin

Downes

Todres

2015

J Pediatr Intensive Care

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OBJECTIVES: to review and cite important individuals and events in the development of pediatric critical care medicine (PCCM). DATA SOURCES: A MEDLINE search was performed looking for citations of the history of PCCM. This yielded 85 citations of which 46 were obtained. Thirty nine of the 85 were rejected as inappropriate either by title (e.g., pediatric emergency medicine) or because they were in a foreign language only. After review of the 46, 21 were included in this review and the others rejected as inappropriate. Textbooks of PCCM were reviewed for chapters on the history of PCCM and four were included. Forty-eight personal communications were made to individuals and four to organizations to elicit and verify information. One speech is referenced and from these sources, a total of 37 additional textbooks, monographs and chapters and 47 journal manuscripts and reference sites were found and included. SELECTION AND EXTRACTION: Materials pertinent to the specific disciplines, individuals and events in the development of CCM(Critical care medicine) and PCCM were included in this review. CONCLUSIONS: PCCM owes a great debt to the expertise in anesthesiology, neonatology, pediatric cardiology, pediatric general and cardiovascular surgery and nursing for its evolution. The modern PCCM unit and service is more the result of the need to treat and organize care for critically ill and injured patients than to any developments in technology.

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“…Qualitative analyses showed that just increasing the number of PICUs or PICU beds would not be an optimal solution to the current problem. It is estimated that number of children per PICU bed is 1:27,000 to 1:50,000 (3)(4)(5). The total PICU bed number in Turkey was found to be 602, including 227 beds in level 2 centers and 375 in level 3 centers.…”

Section: Picus and Bed Numbersmentioning

confidence: 99%

Evaluation report of pediatric intensive care units in Turkey

Bayrakçı¹,

Kesici²,

Kendirli³

et al. 2014

Turk J Med Sci

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Background/aim: To collect data from throughout Turkey in order to facilitate the organization of pediatric intensive care units (PICUs), and to develop short-term immediate action plans and draft long-term strategic plans.Materials and methods: A total of 35 specialists including 17 pediatric critical care (PCC) specialists, 9 PCC fellows in training, and 9 pediatricians working in PICUs evaluated PICUs and their infrastructures, mortality rates, appropriateness of indications for PICU admissions, PICU bed numbers, and utilization of those PICU beds.Results: PICU bed numbers, PCC specialist numbers, and PICU nurse numbers are insufficient in Turkey. The high percentage of inappropriate and inefficient use of current PICU beds is also another problem. Conclusion:In the light of this report, it is obvious that pediatric intensive care services are successful and efficient only in the presence of PCC specialists in PICUs. Studies for improving the infrastructure of PICUs and the training of PCC specialists and other health personnel should be started immediately.

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Regionalization of Pediatric Critical Care

Cited by 25 publications

References 7 publications

Growth of pediatric intensive care units in the United States from 1995 to 2001

Growth of pediatric intensive care units in the United States from 1995 to 2001

History of pediatric critical care medicine

Evaluation report of pediatric intensive care units in Turkey

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