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

Author:

Sng Qian1,Zhang Lu1,Ming Wong Judith2,Puthucheary Janil34,Lee Jan34,Ping Kirk Angela1

Affiliation:

1. Division of Nursing, KK Women's and Children's Hospital, Singapore

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

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

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

Abstract

AbstractLong-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.

Publisher

Georg Thieme Verlag KG

Subject

Critical Care and Intensive Care Medicine,Pediatrics, Perinatology and Child Health

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