期刊
JOURNAL OF PEDIATRIC SURGERY
卷 51, 期 10, 页码 1688-1692出版社
W B SAUNDERS CO-ELSEVIER INC
DOI: 10.1016/j.jpedsurg.2016.05.022
关键词
Trauma; Pediatric; Intensive care unit
Background: No formal criteria exist to determine the need for admission of injured children to the pediatric intensive care unit. Our objective was to analyze trauma patient admissions to the PICU at a level 1 pediatric trauma center. Methods: The trauma registry was analyzed between 2002 and 2015. A preventable PICU admission was defined as a child discharged home or transferred out of the PICU within 30 h without surgical intervention, blood transfusion, or ventilator support. Results: Of 16,209 children, 19% were admitted to the PICU: mean age 7.3 years, median ISS 17, and overall mortality 7%. Per our definition, 36% were preventable PICU admissions of which 83% suffered a head injury. The preventable admissions were younger (6.9 vs. 7.6 years, p < 0.001) with a lower median ISS (16 vs. 21, p < 0.001), shorter median PICU LOS (17 vs. 41 h, p < 0.001) and shorter median hospital LOS (51 vs. 121 h, p < 0.001). These admissions resulted in total facility charges of $9,981,454.76 with 54% produced by children with an isolated head injury. Conclusions: A significant number of children admitted to our PICU were classified as preventable. They carry a substantial economic burden to the health care system with an overutilization of resources. Methods to limit such admissions should be actively pursued. (C) 2016 Elsevier Inc. All rights reserved.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据