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The Impact of Telemedicine on Pediatric Critical Care Triage*
We examined the providers’ self-reported assessments about the consultation, decision-making, and triage outcomes. We estimate a logit model to predict triage location as a function of telemedicine consult age and sex. For telemedicine patients, the odds of triage to a non-ICU level of care are 2.55 times larger than the odds for patients receiving telephone consultations (p = 0.0005). Providers rated the accuracy of their assessments higher when consultations were provided via telemedicine. When patients were transferred to a non-ICU location following a telemedicine consultation, providers indicated that the use of tel...
Source: Pediatric Critical Care Medicine - November 1, 2017 Category: Pediatrics Tags: Online Clinical Investigations Source Type: research
Epidemiology of Pediatric Critical Care Transport in Northern Alberta and the Western Arctic
Conclusions:
The current transport system has multiple priorities with regard to efficiency and quality. The medical services at referral hospitals may affect the likelihood of PICU admission and subsequent PICU length of stay; however, no negative impact was observed in other outcomes including mortality.
Source: Pediatric Critical Care Medicine - June 1, 2018 Category: Pediatrics Tags: Online Clinical Investigations Source Type: research
Advancing Randomized Controlled Trials in Pediatric Critical Care: The Perspectives of Trialists
Conclusions:
Coordinated, deliberate actions to build community and ensure key training and practical experiences for new investigators may strengthen the research enterprise in pediatric critical care. These strategies, potentially in combination with other novel approaches, may vitalize clinical research in this field.
Source: Pediatric Critical Care Medicine - November 1, 2018 Category: Pediatrics Tags: Online Clinical Investigations Source Type: research
PICU-Based Rehabilitation and Outcomes Assessment: A Survey of Pediatric Critical Care Physicians*
Conclusions:
Physicians lack PICU-based rehabilitation guidelines despite great interest and current practices involving a high degree of PICU-based rehabilitation consultation. Data are needed to identify best practices and necessary resources in the delivery of ICU-based multidisciplinary rehabilitation and long-term functional outcomes assessment to optimize recovery of children and families affected by critical illness.
Source: Pediatric Critical Care Medicine - June 1, 2019 Category: Pediatrics Tags: Online Clinical Investigations Source Type: research
Research Collaboration in Pediatric Critical Care Randomized Controlled Trials: A Social Network Analysis of Coauthorship*
Conclusions:
Pediatric critical care has made considerable progress in the number of trialists and randomized controlled trials, but the research enterprise remains highly clustered and fragmented, particularly geographically. Efforts to further increase the quantity and quality of research in the field should include steps to increase the level and range of collaboration.
Source: Pediatric Critical Care Medicine - January 1, 2020 Category: Pediatrics Tags: Feature Articles Source Type: research
SCCM Pod-372 Nutrition Support Therapy in the Pediatric Critically Ill Patient
Margaret Parker, MD, MCCM, speaks with Nilesh M. Mehta, MD, about the article, Guidelines for the Provision and Assessment of Nutrition Support Therapy in the Pediatric Critically Ill Patient: Society of Critical Care Medicine and American Society for Parenteral and Enteral Nutrition, published in the July 2017 issue of Pediatric Critical Care Medicine
Source: SCCM PodCast - iCritical Care - November 5, 2018 Category: Intensive Care Authors: The Society of Critical Care Medicine (SCCM) Tags: Medicine Source Type: podcasts
SCCM Pod-393 Updated Pediatric Admission, Discharge, and Triage and Levels of Care Guidance
Margaret M. Parker, MD, MCCM, and Lorry R. Frankel, MD, FCCM, discuss the updated pediatric critical care admission, discharge, and triage criteria and levels of care guidance published in the September issue of Pediatric Critical Care Medicine
Source: SCCM PodCast - iCritical Care - September 4, 2019 Category: Intensive Care Authors: The Society of Critical Care Medicine (SCCM) Tags: Medicine Source Type: podcasts
SCCM Pod-372 Nutrition Support Therapy in the Pediatric Critically Ill Patient
Margaret Parker, MD, MCCM, speaks with Nilesh M. Mehta, MD, about the article, Guidelines for the Provision and Assessment of Nutrition Support Therapy in the Pediatric Critically Ill Patient: Society of Critical Care Medicine and American Society for Parenteral and Enteral Nutrition, published in the July 2017 issue of Pediatric Critical Care Medicine
Source: SCCM PodCast - iCritical Care - November 5, 2018 Category: Intensive Care Authors: The Society of Critical Care Medicine (SCCM) Tags: Medicine Source Type: podcasts
A Call to Action for the Pediatric Critical Care Community
Healthcare regulatory bodies have escalated concerns regarding the use of point-of-care ultrasound by nonradiology and noncardiology physicians. A recently published PCCMPerspective identified that data do not support many of these concerns and addressed common misconceptions associated with point-of-care ultrasound use in the critical care setting. Indeed, the global point-of-care ultrasound community and specifically the pediatric critical care community have the opportunity to be leaders in demonstrating how to translate new skills and technologies to the bedside in a safe and effective manner. We seek to extend the con...
Source: Pediatric Critical Care Medicine - July 1, 2021 Category: Pediatrics Tags: Online PCCM Perspectives Source Type: research
A Core Outcome Measurement Set for Pediatric Critical Care*
Conclusions:
The PICU COMS delineates measures to evaluate domains in the PICU COS and facilitates comparability across future research studies to characterize PICU survivorship and enable interventional studies to target long-term outcomes after critical illness.
Source: Pediatric Critical Care Medicine - November 1, 2022 Category: Pediatrics Tags: Feature Articles Source Type: research
Pediatric Intensive Care Outcomes: Development of New Morbidities During Pediatric Critical Care*
Objective: To investigate significant new morbidities associated with pediatric critical care.
Design: Randomly selected, prospective cohort.
Setting: PICU patients from eight medical and cardiac PICUs.
Patients: This was a randomly selected, prospective cohort of PICU patients from eight medical and cardiac PICUs.
Measurements and Main Results: The main outcomes measures were hospital discharge functional status measured by Functional Status Scale scores and new morbidity defined as an increase in the Functional Status Scale of more than or equal to 3. Of the 5,017 patients, there were 242 new morbidities (4.8%), 99 PICU ...
Source: Pediatric Critical Care Medicine - November 1, 2014 Category: Pediatrics Tags: Feature Articles Source Type: research
High-Quality Randomized Controlled Trials in Pediatric Critical Care: A Survey of Barriers and Facilitators*
Objectives: High-quality, adequately powered, randomized controlled trials are needed to inform the care of critically ill children. Unfortunately, such evidence is not always available. Our objective was to identify barriers and facilitators of conducting high-quality randomized controlled trials in pediatric critical care, from the perspective of trialists in this field.
Design: Self-administered online survey. Respondents rated the importance of barriers and effectiveness of facilitators on seven-point scales.
Setting: Authors of 294 pediatric critical care randomized controlled trials (published 1986 to June 2015).
...
Source: Pediatric Critical Care Medicine - May 1, 2017 Category: Pediatrics Tags: Feature Article Source Type: research
Relationship of Hospital Costs With Mortality in Pediatric Critical Care: A Multi-Institutional Analysis*
Conclusions: This large observational study did not demonstrate any relationship between hospital costs and patient outcomes in children with critical illness. Further efforts are needed to evaluate quality-cost relationship and high value care in critically ill children across centers of varying volume by linking data from clinical and administrative databases.
Source: Pediatric Critical Care Medicine - June 1, 2017 Category: Pediatrics Tags: Feature Articles Source Type: research
Guidelines for the Provision and Assessment of Nutrition Support Therapy in the Pediatric Critically Ill Patient: Society of Critical Care Medicine and American Society for Parenteral and Enteral Nutrition
This document represents the first collaboration between two organizations, American Society of Parenteral and Enteral Nutrition and the Society of Critical Care Medicine, to describe best practices in nutrition therapy in critically ill children. The target of these guidelines is intended to be the pediatric (> 1 mo and
Source: Pediatric Critical Care Medicine - July 1, 2017 Category: Pediatrics Tags: Special Article Source Type: research
