None listed
Conditions
Brief summary
Pediatric Intesive Care has been centralized in many parts of Europe, North America and Australia. Centralization of pediatric intensive care inevitably means that some patients have to be transported vast distances to obtain specialist treatment. The benefits of centralization have to outweigh the risks of inter-hospital transport of critically ill children to a regional PICU. The aim of this study was to: 1) systematically investigate the short-and long-term survival and the causes of death in children unplanned transported to a single center PICU in Sweden by a specialized pediatric transport team 2) analyze if there were any differences in short-and long-term survival, LOS and resource use during transport and in PICU between different age groups and 3) evaluate the impact of long-distance transports on PICU outcomes.
Interventions
In this observational study critically ill children (n=401) who were unplanned admitted to the PICU of a tertiary university hospital after being unplanned transported from a referring hospital were included. Study time was 9 years. Patients will be observed regarding long and short time survival, causes of death, predicted death ratio, length-of-stay in PICU, resource use in PICU and distance transported.
Sponsors
Karolinska University Hospital
Eligibility
Sex/Gender
All
Age
No minimum to 18 Years
Healthy volunteers
No
Inclusion criteria
Consecutive critically ill children who had undergone an unplanned inter-hospital intensive care transport to the PICU of a tertiary university hospital by the hospital's specialized pediatric transport team.
Exclusion criteria
Patients not transported by the specialized pediatric transport team.
Outcome results
None listed