Regional variation in child mortality at hospitals lacking a pediatric intensive care unit

Critical Care Medicine
Robert K Kanter

Abstract

To investigate statewide variation in failure to utilize existing regional pediatric intensive care units (PICUs). Deaths of children in hospitals lacking specialized units (non-PICU hospitals) were postulated to represent possible PICU utilization failures. A survey study was performed on hospital inpatient discharges and deaths in 1997, using data obtained from the New York Statewide Planning and Research Cooperative System (SPARCS). Children 0-14 yrs old were studied, excluding neonatal Diagnosis-Related Groups and emergency department deaths. Hospitals were considered to have a PICU if they had a board-certified pediatric intensivist on staff, and either New York State designation as a PICU or a separate dedicated unit for children. Non-PICU hospital pediatric death rates were compared for health service areas to determine whether regional variation occurred. Statewide, 157 of 584 (27%) pediatric hospital inpatient deaths occurred in non-PICU hospitals. Significant variation was seen among eight regions in pediatric death rates in non-PICU hospitals (p < .05). The 114 of 328 (35%) New York City inpatient deaths occurring in non-PICU hospitals significantly exceeded the 43 of 256 (17%) throughout the remainder of the state (...Continue Reading

References

Nov 24, 1989·JAMA : the Journal of the American Medical Association·G Laffel, D Blumenthal
Aug 31, 1995·The New England Journal of Medicine·A S Detsky
Oct 12, 1995·The New England Journal of Medicine·J E BilliR L Mitchell
Jul 1, 1994·Critical Care Medicine·W E EdgeR F Walsh
Mar 1, 1996·Academic Medicine : Journal of the Association of American Medical Colleges·A M BernardL F McMahon
Aug 1, 1997·Pediatrics·A A Hernández-BorgesA Jiménez
Jan 28, 1998·Health Affairs·C B Forrest, R J Reid
May 26, 1999·The New England Journal of Medicine·E L Hannan
Jun 8, 1999·Journal of Pediatric Surgery·E J DoolinC DiScala
Jun 17, 1999·The New England Journal of Medicine·D Blumenthal
Mar 7, 2000·JAMA : the Journal of the American Medical Association·R A DudleyA Milstein
Aug 2, 2000·Pediatrics·J M TilfordD H Fiser

❮ Previous
Next ❯

Citations

Jun 6, 2007·Intensive Care Medicine·Andrea WolflerUNKNOWN Italian Pediatric Sepsis Study (SISPe) Group
Feb 20, 2007·Annals of Allergy, Asthma & Immunology : Official Publication of the American College of Allergy, Asthma, & Immunology·Robert Y LinQilong Yi
Sep 3, 2005·Annals of Allergy, Asthma & Immunology : Official Publication of the American College of Allergy, Asthma, & Immunology·Robert Y LinAriel D Teitel
Mar 22, 2002·Critical Care Medicine·Jeanette R M White, Murray M Pollack
Nov 9, 2006·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Murray M Pollack
Dec 16, 2011·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Wanda D BarfieldUNKNOWN Task Force for Pediatric Emergency Mass Critical Care
Oct 1, 2011·Pediatric Emergency Care·Diana G FendyaDonald D Vernon
Jun 16, 2012·Disaster Medicine and Public Health Preparedness·Mary D BrantleyAlcia Williams
May 4, 2013·Pediatric Clinics of North America·James P Marcin
Mar 21, 2009·Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine·Folafoluwa O OdetolaSarah J Clark
Jan 13, 2005·The Journal of Pediatrics·Robert K Kanter, Franklin Dexter
Mar 31, 2015·Critical Care Clinics·Miles S Ellenby, James P Marcin
Apr 22, 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·Parul DayalJames P Marcin
Dec 3, 2005·The Journal of Bone and Joint Surgery. American Volume·Mark A VitaleMichael G Vitale
Oct 19, 2002·Current Opinion in Critical Care·R Scott Watson

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies
Frederick M BurkleTask Force for Pediatric Emergency Mass Critical Care
Critical Care Nursing Quarterly
Herb Rogove
© 2022 Meta ULC. All rights reserved