Pharmacotherapy in pediatric critical illness: a prospective observational study

Paediatric Drugs
Conor McDonnellChristopher S Parshuram

Abstract

Pharmacotherapy is an under-evaluated element of critical care medicine. In order to better understand pharmacotherapy in pediatric critical illness, we evaluated a cohort of emergency admissions to a university-affiliated pediatric intensive care unit (PICU). A prospective, observational study was performed. Eligible patients were admitted to this medical-surgical ICU for at least 24 hours. The primary outcomes were the number of drug orders written, the number of different medications ordered, and the number of drug administrations. Multiple regression analyses were used to identify factors independently associated with each primary outcome. We studied 100 patients with a median age of 40 months (interquartile range [IQR] 9-82), who were admitted for a total of 851 ICU days. These patients received 4419 drug orders and 11 911 intermittent dose-administrations of 241 different medications. Each patient received a median of 29.5 (IQR 16.5-48.5) drug orders, 14 (IQR 9-18.5) different medications, and 58 (IQR 28-129) drug administrations while in the ICU. The most frequent orders were for morphine 457 (10.6%), furosemide (frusemide) 337 (7.8%), potassium 237 (5.5%), lorazepam 226 (5.2%), and albuterol (salbutamol) 158 (3.7%). The...Continue Reading

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Citations

Jan 26, 2011·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·Navjeet UppalChristopher S Parshuram
Mar 10, 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·Dingwei DaiChris Feudtner
Aug 11, 2018·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Robert C Tasker
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Related Concepts

Pharmaceutical Preparations
Hospitals, Pediatric
Hospital Stay
Prescribing Patterns, Physician
Regression Analysis
Severity of Illness Index
Pediatric Intensive Care Unit
Critical Illness
Albuterol
Pharmacotherapy

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