Frequency, characteristics, and outcomes of pediatric patients readmitted to the cardiac critical care unit.

Intensive Care Medicine
Patricia Bastero-MiñónTilman Humpl

Abstract

To describe the characteristics and outcomes of patients readmitted to a pediatric cardiac critical care unit (CCCU) from the ward within 72 h of their first discharge. This was a retrospective analysis of data collected on patients admitted to the CCCU between January 1, 2000 and January 31, 2007. The setting was an 18-bed pediatric CCCU in a tertiary care university hospital. No interventions were performed. Among the 4,625 patients admitted to the CCCU, 112 (2.4 %) were readmitted from the ward within 72 h of their discharge. The most common cause for readmission was respiratory symptoms (42.9 %). Significant changes in the chest X-ray prior to discharge were identified retrospectively in 12.5 % of these patients. Cardiovascular symptoms were similarly frequent (40.2 %) among these patients. Nine (8 %) of the patients died during the readmission period, a rate which is considerably higher than the overall CCCU mortality rate (3.8 %) in the same period of time. Respiratory reasons are the most common cause for early CCCU readmission among pediatric cardiac patients. The readmitted patients have higher rates of death compared to the overall pediatric cardiac critical care population. The development of objective predischarge s...Continue Reading

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Citations

Nov 28, 2013·Critical Care Medicine·Francisco Cunha, Armando Teixeira-Pinto
Aug 29, 2013·Critical Care Medicine·Jeffrey D EdwardsR Adams Dudley
Jun 5, 2016·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Afrothite KotsakisChristopher S Parshuram
Oct 16, 2015·World Journal for Pediatric & Congenital Heart Surgery·Marissa A BrunettiJ William Gaynor
Jul 1, 2016·World Journal for Pediatric & Congenital Heart Surgery·Melinda D CoroCraig Futterman
Jul 15, 2017·Critical Care Medicine·Jeffrey D EdwardsR Adams Dudley
Sep 27, 2018·Critical Care Medicine·Andrew H SmithMichael Gaies
Sep 5, 2019·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Lorry R FrankelUNKNOWN Voting Panel
Aug 10, 2020·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Jacob J ChackoJennifer Conway
Mar 16, 2017·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Aarti C BavarePaul A Checchia
Nov 3, 2020·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Lucy Chai See Lum

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