Admission source and mortality in a pediatric intensive care unit

Detalhes bibliográficos
Autor(a) principal: El Halal, Michel Georges dos Santos
Data de Publicação: 2012
Outros Autores: Barbieri, Evandro, Mombelli Filho, Ricardo, Trotta, Eliana de Andrade, Carvalho, Paulo Roberto Antonacci
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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spelling 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.
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dc.relation.ispartof.pt_BR.fl_str_mv Indian journal of critical care medicine. Mumbai. Vol. 16, no. 2 (Apr./Jun. 2012), p. 81-86
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