Dataset Information

Long-stay pediatric patients in Japanese intensive care units: their significant presence and a newly developed, simple predictive score.

ABSTRACT:

Background

The length of stay (LOS) in intensive care units (ICUs) has been used as a good indicator not only for resource consumption but also for health outcomes of patients. However, data regarding pediatric LOS in Japanese ICUs are limited. The primary aim of this study was to characterize the Japanese pediatric ICU patients based on their LOS. Second, we aimed to develop a simple scoring system to predict long-stay pediatric ICU patients on admission.

Methods

We performed a retrospective cohort study using consecutive pediatric data (aged ?14?days) were identified using multiple regression analysis, and subsequently, a simple predictive scoring system was developed based on the results. The validity of the score was prospectively tested using data from the JaRPAC registration from October 2016 to September 2017.

Results

Overall, 4107 patients were included. Although LSPs were few (8.0% [n =?330]), they consumed 38.0% of ICU bed days (9750 for LSPs versus 25,659 overall). Mortality was seven times higher in LSPs than in short-stay patients (9.1% versus 1.3%). An 11-variable simple predictive scoring system was constructed, including Pediatric Index of Mortality 2???1 (2 points), liver dysfunction (non-post operation) (2 points), post-cardiopulmonary resuscitation (1 point), circulatory disorder (1 point), post-operative management of liver transplantation (1 point), encephalitis/encephalopathy (1 point), myocarditis/cardiomyopathy (1 point), congenital heart disease (non-post operation) (1 point), lung tissue disease (1 point), Pediatric Cerebral Performance Category scores ??2 (1 point), and age ConclusionsPediatric LSPs possess a significant presence in Japanese ICUs with high rates of bed utilization and mortality. The newly developed predictive scoring system may identify pediatric LSPs on admission.

SUBMITTER: Knaup E

PROVIDER: S-EPMC6664501 | biostudies-literature | 2019

REPOSITORIES: biostudies-literature

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Publications

Long-stay pediatric patients in Japanese intensive care units: their significant presence and a newly developed, simple predictive score.

Knaup Emily E Nosaka Nobuyuki N Yorifuji Takashi T Tsukahara Kohei K Naito Hiromichi H Tsukahara Hirokazu H Nakao Atsunori A

Journal of intensive care 20190729

<h4>Background</h4>The length of stay (LOS) in intensive care units (ICUs) has been used as a good indicator not only for resource consumption but also for health outcomes of patients. However, data regarding pediatric LOS in Japanese ICUs are limited. The primary aim of this study was to characterize the Japanese pediatric ICU patients based on their LOS. Second, we aimed to develop a simple scoring system to predict long-stay pediatric ICU patients on admission.<h4>Methods</h4>We performed a r ...[more]

PMID: 31384469

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Dataset Information

Long-stay pediatric patients in Japanese intensive care units: their significant presence and a newly developed, simple predictive score.

Background

Methods

Results

Publications

Long-stay pediatric patients in Japanese intensive care units: their significant presence and a newly developed, simple predictive score.

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