Admission source and mortality in a pediatric intensive care unit
Autor(a) principal: | |
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Data de Publicação: | 2012 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UFRGS |
Texto Completo: | http://hdl.handle.net/10183/104331 |
Resumo: | Background and Aims: Studies carried out in different countries have shown that source of patient admission in Intensive Care Units (ICUs) is associated to death. Patients admitted from wards show a greater ICU mortality. The aim of the present study was to investigate the association between admission source and outcome in a Pediatric Intensive Care Unit (PICU). Materials and Methods: We studied all PICU admissions that took place between January 2002 and December 2005 in a tertiary hospital in Brazil. The major outcome studied was death while in the PICU. The independent variable analyzed was admission source, defined either as pediatric emergency room (PER), wards, operating room (OR) of the same hospital or other sources. Results: A total of 1823 admissions were studied. The overall expected mortality based on the Pediatric Index of Mortality 2 was 6.5% and the observed mortality was 10.3%. In adjusted analysis, the mortality was doubled in patients admitted from wards when compared with the PER patients. Conclusions: Observed mortality rates were higher in patients admitted from wards within the same hospital, even after adjustment. |
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El Halal, Michel Georges dos SantosBarbieri, EvandroMombelli Filho, RicardoTrotta, Eliana de AndradeCarvalho, Paulo Roberto Antonacci2014-10-09T02:13:25Z20120972-5229http://hdl.handle.net/10183/104331000921617Background and Aims: Studies carried out in different countries have shown that source of patient admission in Intensive Care Units (ICUs) is associated to death. Patients admitted from wards show a greater ICU mortality. The aim of the present study was to investigate the association between admission source and outcome in a Pediatric Intensive Care Unit (PICU). Materials and Methods: We studied all PICU admissions that took place between January 2002 and December 2005 in a tertiary hospital in Brazil. The major outcome studied was death while in the PICU. The independent variable analyzed was admission source, defined either as pediatric emergency room (PER), wards, operating room (OR) of the same hospital or other sources. Results: A total of 1823 admissions were studied. The overall expected mortality based on the Pediatric Index of Mortality 2 was 6.5% and the observed mortality was 10.3%. In adjusted analysis, the mortality was doubled in patients admitted from wards when compared with the PER patients. Conclusions: Observed mortality rates were higher in patients admitted from wards within the same hospital, even after adjustment.application/pdfengIndian journal of critical care medicine. Mumbai. Vol. 16, no. 2 (Apr./Jun. 2012), p. 81-86Unidades de terapia intensiva pediátricaCriançaMortalidadeAdmissão do pacientePediatriaChildIntensive care unitsMortalityPatient admissionPediatricAdmission source and mortality in a pediatric intensive care unitEstrangeiroinfo:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UFRGSinstname:Universidade Federal do Rio Grande do Sul (UFRGS)instacron:UFRGSORIGINAL000921617.pdf000921617.pdfTexto completo (inglês)application/pdf663310http://www.lume.ufrgs.br/bitstream/10183/104331/1/000921617.pdfd8448d712d0fec8f18e53fc8fe24ea92MD51TEXT000921617.pdf.txt000921617.pdf.txtExtracted Texttext/plain27440http://www.lume.ufrgs.br/bitstream/10183/104331/2/000921617.pdf.txt71d062a4c38580660334da9100d3834cMD52THUMBNAIL000921617.pdf.jpg000921617.pdf.jpgGenerated Thumbnailimage/jpeg2275http://www.lume.ufrgs.br/bitstream/10183/104331/3/000921617.pdf.jpg49a39c5ea56680bc555b03a665d1fe67MD5310183/1043312018-10-09 08:54:32.09oai:www.lume.ufrgs.br:10183/104331Repositório de PublicaçõesPUBhttps://lume.ufrgs.br/oai/requestopendoar:2018-10-09T11:54:32Repositório Institucional da UFRGS - Universidade Federal do Rio Grande do Sul (UFRGS)false |
dc.title.pt_BR.fl_str_mv |
Admission source and mortality in a pediatric intensive care unit |
title |
Admission source and mortality in a pediatric intensive care unit |
spellingShingle |
Admission source and mortality in a pediatric intensive care unit El Halal, Michel Georges dos Santos Unidades de terapia intensiva pediátrica Criança Mortalidade Admissão do paciente Pediatria Child Intensive care units Mortality Patient admission Pediatric |
title_short |
Admission source and mortality in a pediatric intensive care unit |
title_full |
Admission source and mortality in a pediatric intensive care unit |
title_fullStr |
Admission source and mortality in a pediatric intensive care unit |
title_full_unstemmed |
Admission source and mortality in a pediatric intensive care unit |
title_sort |
Admission source and mortality in a pediatric intensive care unit |
author |
El Halal, Michel Georges dos Santos |
author_facet |
El Halal, Michel Georges dos Santos Barbieri, Evandro Mombelli Filho, Ricardo Trotta, Eliana de Andrade Carvalho, Paulo Roberto Antonacci |
author_role |
author |
author2 |
Barbieri, Evandro Mombelli Filho, Ricardo Trotta, Eliana de Andrade Carvalho, Paulo Roberto Antonacci |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
El Halal, Michel Georges dos Santos Barbieri, Evandro Mombelli Filho, Ricardo Trotta, Eliana de Andrade Carvalho, Paulo Roberto Antonacci |
dc.subject.por.fl_str_mv |
Unidades de terapia intensiva pediátrica Criança Mortalidade Admissão do paciente Pediatria |
topic |
Unidades de terapia intensiva pediátrica Criança Mortalidade Admissão do paciente Pediatria Child Intensive care units Mortality Patient admission Pediatric |
dc.subject.eng.fl_str_mv |
Child Intensive care units Mortality Patient admission Pediatric |
description |
Background and Aims: Studies carried out in different countries have shown that source of patient admission in Intensive Care Units (ICUs) is associated to death. Patients admitted from wards show a greater ICU mortality. The aim of the present study was to investigate the association between admission source and outcome in a Pediatric Intensive Care Unit (PICU). Materials and Methods: We studied all PICU admissions that took place between January 2002 and December 2005 in a tertiary hospital in Brazil. The major outcome studied was death while in the PICU. The independent variable analyzed was admission source, defined either as pediatric emergency room (PER), wards, operating room (OR) of the same hospital or other sources. Results: A total of 1823 admissions were studied. The overall expected mortality based on the Pediatric Index of Mortality 2 was 6.5% and the observed mortality was 10.3%. In adjusted analysis, the mortality was doubled in patients admitted from wards when compared with the PER patients. Conclusions: Observed mortality rates were higher in patients admitted from wards within the same hospital, even after adjustment. |
publishDate |
2012 |
dc.date.issued.fl_str_mv |
2012 |
dc.date.accessioned.fl_str_mv |
2014-10-09T02:13:25Z |
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Estrangeiro info:eu-repo/semantics/article |
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000921617 |
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http://hdl.handle.net/10183/104331 |
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eng |
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Indian journal of critical care medicine. Mumbai. Vol. 16, no. 2 (Apr./Jun. 2012), p. 81-86 |
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