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A national survey of pediatric critical care resources in the United States.
Pediatrics. 2005 Apr; 115(4):e382-6.Ped

Abstract

OBJECTIVE

To characterize resources available for the care of critically ill and injured children in the United States.

STUDY DESIGN

In January through May 2004, we conducted a cross-sectional survey of medical directors of intensive care facilities for children.

RESULTS

Pediatric critical care medical directors from 257 of 337 eligible hospitals responded to the survey (response rate: 76%). The median number of beds was 12 (interquartile range: 8-17 beds), with a median of 58 admissions per PICU bed (interquartile range: 44-70 admissions per PICU bed) in 2003. The median numbers of admissions per PICU bed were not statistically different among PICUs of different sizes. Fewer than 6% of hospitals shared PICU space with space for critically ill adults. The smallest units (1-6 beds) had higher physician and nurse staffing ratios per PICU bed. Advanced therapeutic technology, particularly renal replacement and inhaled nitric oxide therapy, was significantly more likely to be available in larger PICUs (> or =7 beds).

CONCLUSIONS

PICUs with the fewest beds had higher physician and nurse staffing ratios per PICU bed and lower resource capacity for high-intensity renal and respiratory therapy. The impact of PICU resource availability on referral patterns and outcomes of pediatric critical illnesses warrants additional study.

Authors+Show Affiliations

Division of Pediatric Critical Care Medicine, Department of Pediatrics and Communicable Diseases, University of Michigan Health System, Ann Arbor, Michigan, USA. fodetola@med.umich.eduNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

15805338

Citation

Odetola, Folafoluwa O., et al. "A National Survey of Pediatric Critical Care Resources in the United States." Pediatrics, vol. 115, no. 4, 2005, pp. e382-6.
Odetola FO, Clark SJ, Freed GL, et al. A national survey of pediatric critical care resources in the United States. Pediatrics. 2005;115(4):e382-6.
Odetola, F. O., Clark, S. J., Freed, G. L., Bratton, S. L., & Davis, M. M. (2005). A national survey of pediatric critical care resources in the United States. Pediatrics, 115(4), e382-6.
Odetola FO, et al. A National Survey of Pediatric Critical Care Resources in the United States. Pediatrics. 2005;115(4):e382-6. PubMed PMID: 15805338.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - A national survey of pediatric critical care resources in the United States. AU - Odetola,Folafoluwa O, AU - Clark,Sarah J, AU - Freed,Gary L, AU - Bratton,Susan L, AU - Davis,Matthew M, PY - 2005/4/5/pubmed PY - 2005/8/12/medline PY - 2005/4/5/entrez SP - e382 EP - 6 JF - Pediatrics JO - Pediatrics VL - 115 IS - 4 N2 - OBJECTIVE: To characterize resources available for the care of critically ill and injured children in the United States. STUDY DESIGN: In January through May 2004, we conducted a cross-sectional survey of medical directors of intensive care facilities for children. RESULTS: Pediatric critical care medical directors from 257 of 337 eligible hospitals responded to the survey (response rate: 76%). The median number of beds was 12 (interquartile range: 8-17 beds), with a median of 58 admissions per PICU bed (interquartile range: 44-70 admissions per PICU bed) in 2003. The median numbers of admissions per PICU bed were not statistically different among PICUs of different sizes. Fewer than 6% of hospitals shared PICU space with space for critically ill adults. The smallest units (1-6 beds) had higher physician and nurse staffing ratios per PICU bed. Advanced therapeutic technology, particularly renal replacement and inhaled nitric oxide therapy, was significantly more likely to be available in larger PICUs (> or =7 beds). CONCLUSIONS: PICUs with the fewest beds had higher physician and nurse staffing ratios per PICU bed and lower resource capacity for high-intensity renal and respiratory therapy. The impact of PICU resource availability on referral patterns and outcomes of pediatric critical illnesses warrants additional study. SN - 1098-4275 UR - https://www.unboundmedicine.com/medline/citation/15805338/A_national_survey_of_pediatric_critical_care_resources_in_the_United_States_ L2 - http://pediatrics.aappublications.org/cgi/pmidlookup?view=long&pmid=15805338 DB - PRIME DP - Unbound Medicine ER -