Characteristics and Outcomes of Long-Stay Patients in the Pediatric Intensive Care Unit

Angela Hui Ping Kirk; Qian Wen Sng; Lu Qin Zhang; Judith Ju Ming Wong; Janil Puthucheary; Jan Hau Lee

doi:10.1055/s-0037-1601337

Journal of Pediatric Intensive Care, Table of Contents

J Pediatr Intensive Care 2018; 07(01): 001-006
DOI: 10.1055/s-0037-1601337

Original Article

Georg Thieme Verlag KG Stuttgart · New York

Characteristics and Outcomes of Long-Stay Patients in the Pediatric Intensive Care Unit

Authors

Angela Hui Ping Kirk

¹Division of Nursing, KK Women's and Children's Hospital, Singapore
Qian Wen Sng

¹Division of Nursing, KK Women's and Children's Hospital, Singapore
Lu Qin Zhang

¹Division of Nursing, KK Women's and Children's Hospital, Singapore
Judith Ju Ming Wong

²Department of Pediatric Medicine, KK Women's and Children's Hospital, Singapore
Janil Puthucheary

³Children's Intensive Care Unit, Department of Pediatric Subspecialties, KK Women's and Children's Hospital, Singapore

⁴Office of Clinical Sciences, Duke-NUS School of Medicine, Singapore
Jan Hau Lee

³Children's Intensive Care Unit, Department of Pediatric Subspecialties, KK Women's and Children's Hospital, Singapore

⁴Office of Clinical Sciences, Duke-NUS School of Medicine, Singapore

Abstract

Long-stay patients in the PICU have a higher risk of mortality as compared with non–long-stay patients. We aim to describe mortality and characteristics of long-stay patients and to determine the risk factors for mortality in these children. Total 241 (4.8%) long-stay admissions were identified. Mortality of long-stayers was 48/241 (20%). Higher severity-of-illness score at admission, need for organ support therapies, number of nosocomial infections, and bloodstream nosocomial infection were associated with a higher mortality in long-stay patients in the PICU. Based on multivariate analysis, oncologic diagnosis as a preexisting comorbidity is a strong independent predictor of mortality for long-stay patients.

Keywords

children - pediatrics - intensive care - length of stay - outcome - long-stay - mortality

Full Text

References

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