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. 2012 Apr;16(2):81-6.
doi: 10.4103/0972-5229.99114.

Admission source and mortality in a pediatric intensive care unit

Michel Georges Dos Santos El Halal  1 , Evandro Barbieri, Ricardo Mombelli Filho, Eliana de Andrade Trotta, Paulo Roberto Antonacci Carvalho
Affiliations

Admission source and mortality in a pediatric intensive care unit

Michel Georges Dos Santos El Halal et al. Indian J Crit Care Med. 2012 Apr.

Abstract

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.

Keywords: Child; intensive care units; mortality; patient admission; pediatric.

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Conflict of interest statement

Conflict of Interest: None declared.

Figures

Figure 1
Figure 1
Distribution of cases according to risk of death at admission (PIM2) and source of patients. PIM2: Pediatric Index of Mortality 2; PER: pediatric emergency room; OR: operating room; other facilities: walk-in facilities, health centers or emergency rooms, wards or PICUs of other hospitals
Figure 2
Figure 2
Mortality rate according to risk of death at admission (PIM2) and source of patients. PIM2: Pediatric Index of Mortality 2; PER: Pediatric emergency room; OR: Operating room; other facilities: walk-in facilities, health centers or emergency rooms, wards or PICUs of other hospitals
See this image and copyright information in PMC

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