Volume–Outcome Relationships in Pediatric Intensive Care Units

Abstract

The volume of patients in PICUs is inversely related to risk-adjusted mortality and patient length of stay. A further understanding of this relationship is needed to develop effective regionalization and referral policies for critically ill children.

Validation of Pediatric Index of Mortality 2 in Three Pediatric Intensive Care Units in Hong Kong

“…The accuracy of MPM may be affected by the case-mix and case-volume of that particular center. [9] Secondly, due to low case volume, these single center studies had a long study period. The long study period made changes in clinical practice and/or technology during the long study period was an important confounding factor.…”

Does patient volume affect clinical outcomes in adult intensive care units?

“…and trauma were excluded as were studies reporting on outcomes from paediatric ICUs. A significant volumeoutcome relationship has been established in these areas [18][19][20][21][22] with centralization of such services in most countries. Studies carried out in a single ICU and those comparing on outcomes on high versus low census days were excluded.…”

Seltene oder komplexe Erkrankungen bei Kindern

“…Tilford et al beschrieben erstmals 2000 in einer hervorragend geplanten Studie anhand der konsekutiven Aufnahmedaten des Jahres 1993 an 16 pädiatri-schen Intensivstationen in den USA (n = 11.106) einen positiven Zusammenhang zwischen der Überlebensrate und der Anzahl der Aufnahmen auf die Intensivstationen [56].…”