Filtered By:
Countries: USA Health

This page shows you your search results in order of relevance. This is page number 9.

Order by Relevance | Date

Total 124604 results found since Jan 2013.

Mortality Risk Using a Pediatric Quick Sequential (Sepsis-Related) Organ Failure Assessment Varies With Vital Sign Thresholds*
Conclusions: Among critically ill children who had a discharge diagnosis of infection in the PICU, quick Sequential (Sepsis-Related) Organ Failure Assessment score performs best when using the Pediatric Logistic Organ Dysfunction 2 age thresholds with mechanical ventilation, while all definitions performed worse at extremes of pediatric age. Thus, mortality risk varies with vital sign thresholds, and although Pediatric Logistic Organ Dysfunction 2 with mechanical ventilation performed marginally better, it is unlikely to be of use to clinicians. More work is needed to develop a robust and relevant pediatric sepsis risk score.
Source: Pediatric Critical Care Medicine - August 1, 2018 Category: Pediatrics Tags: Online Clinical Investigations Source Type: research

Severity of Illness Scoring for Pediatric Interfacility Transport: A North American Survey
Conclusions Severity of illness scoring is not consistently performed by pediatric interfacility transport programs in North America. Among the programs that use a scoring tool, there is variability in its application. There is no universally accepted or performed severity of illness scoring tool for pediatric interfacility transport. Future research to validate and standardize a pediatric transport severity of illness scoring tool for North America is necessary.
Source: Pediatric Emergency Care - July 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research

Traditional Long-Term Central Venous Catheters Versus Transhepatic Venous Catheters in Infants and Young Children
Conclusions: Without compromising future central venous access sites, transhepatic venous lines had superior duration of service without increased thrombosis, thrombolytic use, or insertion site complications relative to central venous lines. Transhepatic venous catheters had a higher infection rate, and further investigation into the etiology is warranted.
Source: Pediatric Critical Care Medicine - October 1, 2017 Category: Pediatrics Tags: Cardiac Intensive Care Source Type: research

Pediatric Ventilator-Associated Events: Analysis of the Pediatric Ventilator-Associated Infection Data
Conclusions: The ventilator-associated event criteria appear to be insensitive to the clinical diagnosis of ventilator-associated infection. Differentiation between ventilator-associated condition and infection-related ventilator-associated complication was primarily determined by the clinician decision to treat with antibiotics rather than clinical signs and symptoms. The utility of the proposed pediatric ventilator-associated event criteria as a surrogate for ventilator-associated infection criteria is unclear.
Source: Pediatric Critical Care Medicine - December 1, 2018 Category: Pediatrics Tags: Online Clinical Investigations Source Type: research

Evidence of Endotypes in Pediatric Acute Hypoxemic Respiratory Failure Caused by Sepsis*
Conclusions: Applying a previously reported endotyping strategy in children with septic shock identified endotypes of pediatric acute hypoxemic respiratory failure secondary to sepsis, with differential risk for poor outcomes. To our knowledge, this is the first demonstration of endotypes in pediatric respiratory failure. Our results support an investigation into using transcriptomics to identify messenger RNA-based endotypes in a dedicated, well-defined acute hypoxemic respiratory failure cohort.
Source: Pediatric Critical Care Medicine - February 1, 2019 Category: Pediatrics Tags: Late Breaker Articles Source Type: research

Firearm-related injuries in children and adolescents: an emergency and critical care perspective
Purpose of review Firearms are a leading cause of death and injury in children, especially in the United States. Many of these injuries present to emergency departments and pediatric ICUs, prompting a need for updated prevention, interventions, and trauma-informed care. This review explores the evidence for prevention and screening for access to firearms, types of injuries, and considerations for mass casualty events. Recent findings Firearm-related injuries lead to over 20 000 emergency department visits annually in children and carry a higher risk of severe injury or death. Screening high-risk patients for access ...
Source: Current Opinion in Pediatrics - May 6, 2020 Category: Pediatrics Tags: EMERGENCY AND CRITICAL CARE MEDICINE: Edited by Jean E. Klig and Clifford W. Bogue: EMERGENCY MEDICINE Source Type: research

Organ Donation Authorization After Brain Death Among Patients Admitted to PICUs in the United States, 2009–2018*
Objectives: To identify trends in and factors associated with pediatric organ donation authorization after brain death. Design: Retrospective cohort study of data from Virtual Pediatric Systems, LLC (Los Angeles, CA). Setting: Data from 123 PICUs reporting to Virtual Pediatric Systems from 2009 to 2018. Patients: Patients less than 19 years old eligible for organ donation after brain death. Measurements and Main Results: Of 2,777 eligible patients, 1,935 (70%) were authorized for organ donation; the authorization rate remained unchanged over time (ptrend = 0.22). In a multivariable logistic ...
Source: Pediatric Critical Care Medicine - March 1, 2021 Category: Pediatrics Tags: Neurocritical Care Source Type: research

Characteristics of Burn-Injured Children in 117 U.S. PICUs (2009–2017): A Retrospective Virtual Pediatric Systems Database Study*
CONCLUSIONS: Burn-injured patients in U.S. PICUs have a substantial burden of organ failure, morbidity, and mortality. Coordination among specialized facilities may be particularly important in this population, especially for those with higher % total body surface area burned or inhalation injury.
Source: Pediatric Critical Care Medicine - July 1, 2021 Category: Pediatrics Tags: Feature Articles Source Type: research

Factors Associated With Mechanical Ventilation Duration in Pediatric Burn Patients in a Regional Burn Center in the United States*
Conclusions: The presence of inhalational injury and burns to the head and neck region were associated with a longer duration of mechanical ventilation. Older age and male gender were associated with a shorter duration of mechanical ventilation. These factors should help clinicians better estimate a burned child’s expected trajectory and resource-intensive needs upon arrival to a burn center.
Source: Pediatric Critical Care Medicine - November 1, 2022 Category: Pediatrics Tags: Online Brief Reports Source Type: research

Characterization of Pediatric In-Hospital Cardiopulmonary Resuscitation Quality Metrics Across an International Resuscitation Collaborative*
Objectives: Pediatric in-hospital cardiac arrest cardiopulmonary resuscitation quality metrics have been reported in few children less than 8 years. Our objective was to characterize chest compression fraction, rate, depth, and compliance with 2015 American Heart Association guidelines across multiple pediatric hospitals. Design: Retrospective observational study of data from a multicenter resuscitation quality collaborative from October 2015 to April 2017. Setting: Twelve pediatric hospitals across United States, Canada, and Europe. Patients: In-hospital cardiac arrest patients (age
Source: Pediatric Critical Care Medicine - May 1, 2018 Category: Pediatrics Tags: Feature Articles Source Type: research

Multicenter Review of Current Practices Associated With Venous Thromboembolism Prophylaxis in Pediatric Patients After Trauma
Conclusions: Pharmacologic venous thromboembolism prophylaxis is not common in critically ill children after trauma. Patient age, orthopedic and vascular procedures, and higher injury severity are associated with pharmacologic venous thromboembolism prophylaxis.
Source: Pediatric Critical Care Medicine - September 1, 2018 Category: Pediatrics Tags: Online Clinical Investigations Source Type: research

Venoarterial Extracorporeal Membrane Oxygenation Versus Conventional Therapy in Severe Pediatric Septic Shock*
Objectives: The role of venoarterial extracorporeal membrane oxygenation in the treatment of severe pediatric septic shock continues to be intensely debated. Our objective was to determine whether the use of venoarterial extracorporeal membrane oxygenation in severe septic shock was associated with altered patient mortality, morbidity, and/or length of ICU and hospital stay when compared with conventional therapy. Design: International multicenter, retrospective cohort study using prospectively collected data of children admitted to intensive care with a diagnosis of severe septic shock between the years 2006 and 2014...
Source: Pediatric Critical Care Medicine - October 1, 2018 Category: Pediatrics Tags: Extracorporeal Support Source Type: research

Epidemiologic Trends of Adoption of Do-Not-Resuscitate Status After Pediatric In-Hospital Cardiac Arrest*
Conclusions: Patient-, hospital-, and regional-level factors are associated with do-not-resuscitate status after pediatric cardiac arrest. As cardiac arrest might be a signal of terminal chronic illness, a timely discussion of do-not-resuscitate status after cardiac arrest might help families prioritize quality of end-of-life care.
Source: Pediatric Critical Care Medicine - September 1, 2019 Category: Pediatrics Tags: Online Clinical Investigations Source Type: research

Methods Used to Maximize Follow-Up: Lessons Learned From the Therapeutic Hypothermia After Pediatric Cardiac Arrest Trials*
Conclusions: It is feasible to use telephone follow-up interviews to successfully collect detailed neurobehavioral outcome about children following pediatric cardiac arrest. Future studies should consider availability of the telephone interviewer to conduct calls at times convenient for families, using a range of respondents, ongoing engagement with site teams, and site payment related to primary outcome completion.
Source: Pediatric Critical Care Medicine - January 1, 2020 Category: Pediatrics Tags: Feature Articles Source Type: research

Trajectories and Risk Factors for Altered Physical and Psychosocial Health-Related Quality of Life After Pediatric Community-Acquired Septic Shock*
Objectives: To evaluate the physical and psychosocial domains of health-related quality of life among children during the first year following community-acquired septic shock, and explore factors associated with poor physical and psychosocial health-related quality of life outcomes. Design: Secondary analysis of the Life After Pediatric Sepsis Evaluation. Setting: Twelve academic PICUs in the United States. Patients: Children greater than or equal to 1 month and less than 18 years old who were perceived to be without severe developmental disability by their family caregiver at baseline and who survived hospitali...
Source: Pediatric Critical Care Medicine - October 1, 2020 Category: Pediatrics Tags: Feature Articles Source Type: research