Three decades of pediatric intensive care: Who was admitted, what happened in intensive care, and what happened afterward*

Namachivayam, Poongundran; Shann, Frank; Shekerdemian, Lara; Taylor, Anna; Sloten, Irene van; Delzoppo, Carmel; Daffey, Claire; Butt, Warwick

doi:10.1097/pcc.0b013e3181ce7427

Cited by 347 publications

(302 citation statements)

References 32 publications

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“…Namachivayam et al 26 described the profile of children in a reference PICU in Australia in the past three decades and reported a reduction of 13% in traffic accidents in 1982 to 7% in 2005 and 2006, due to stricter laws in that country and the implementation of educational measures. This is contrary to what is observed in Brazil, where these patients crowd the PICUs, due to cranial t rauma, severe orthopaedic injuries, and politrauma.…”

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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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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“…Recent publications have drawn attention to the prevalence of neurological morbidity following critical illness in pediatric patients and the importance of brain injury as a contributing cause of death in the PICU [3,4,141,142]. These studies highlight the opportunity for development and implementation of neuroprotective strategies in a wide variety of illnesses that are encountered in the PICU.…”

Section: Neuromonitoring and Neuroprotection In The Picumentioning

confidence: 99%

“…Reported experience with pediatric neurocritical care consultation services suggest that nearly one quarter of patients admitted to the PICU have, or are considered to be at risk for acute neurological injury [2]. PICU patients with neurological injury also have higher mortality, more long-term morbidity, and longer length of hospital stay [3]. A recent study found that more than half of the patients who died in a tertiary care center PICU had an acute brain injury.…”

Section: Introductionmentioning

confidence: 99%

Pediatric Neurocritical Care

Murphy

2012

Neurotherapeutics

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Pediatric neurocritical care is an emerging multidisciplinary field of medicine and a new frontier in pediatric critical care and pediatric neurology. Central to pediatric neurocritical care is the goal of improving outcomes in critically ill pediatric patients with neurological illness or injury and limiting secondary brain injury through optimal critical care delivery and the support of brain function. There is a pressing need for evidence based guidelines in pediatric neurocritical care, notably in pediatric traumatic brain injury and pediatric stroke. These diseases have distinct clinical and pathophysiological features that distinguish them from their adult counterparts and prevent the direct translation of the adult experience to pediatric patients. Increased attention is also being paid to the broader application of neuromonitoring and neuroprotective strategies in the pediatric intensive care unit, in both primary neurological and primary non-neurological disease states. Although much can be learned from the adult experience, there are important differences in the critically ill pediatric population and in the circumstances that surround the emergence of neurocritical care in pediatrics.

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“…Mortality rates for critically children have declined dramatically [1]. The greatest gains are occurring in higher-risk groups in whom the appropriateness of critical care was previously questioned.…”

mentioning

confidence: 99%

“…The three decades of Melbourne data [1] show that over time the group with pre-existent health needs stands to benefit more than previously healthy children if one defines a ''good outcome'' as functional status equal to, or better than, prior to admission (Fig. 1).…”

mentioning

confidence: 99%

Tools for revealing uncomfortable truths? Measuring child-centred health-related quality of life after paediatric intensive care

2015

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Three decades of pediatric intensive care: Who was admitted, what happened in intensive care, and what happened afterward*

Cited by 347 publications

References 32 publications

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

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

Pediatric Neurocritical Care

Tools for revealing uncomfortable truths? Measuring child-centred health-related quality of life after paediatric intensive care

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