Long-stay patients in pediatric intensive care units. Five-years, 2-points, cross-sectional study
To explore the changing patterns of long-stay patients (LSP) to improve the utilization of pediatric intensive care units (PICUs) resources. This is a 2-points cross-sectional study (5 years apart; 2014-2019) conducted among PICUs and SCICUs in Riyadh, Saudi Arabia. Children who have stayed in PICU...
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| Veröffentlicht in: | Saudi medical journal 2020-11, Vol.41 (11), p.1187-1196 |
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| creator | Temsah, Mohamad-Hani A Al-Eyadhy, Ayman A Al-Sohime, Fahad M Hassounah, Marwah M Almazyad, Mohammed A Hasan, Gamal M Jamal, Amr A Alhaboob, Ali A Alabdulhafid, Majed A Abouammoh, Noura A Alhasan, Khalid A Alwohaibi, Abdullah A Al Mana, Yousef T Alturki, Abdullah T |
| description | To explore the changing patterns of long-stay patients (LSP) to improve the utilization of pediatric intensive care units (PICUs) resources.
This is a 2-points cross-sectional study (5 years apart; 2014-2019) conducted among PICUs and SCICUs in Riyadh, Saudi Arabia. Children who have stayed in PICU for more than 21 days were included.
Out of the 11 units approached, 10 (90%) agreed to participate. The prevalence of LSP in all these hospitals decreased from 32% (48/150) in 2014 to 23.4% (35/149) in 2019. The length of stay ranged from 22 days to 13.5 years. The majority of LSP had a neuromuscular or cardiac disease and were admitted with respiratory compromise. Ventilator-associated pneumonia was the most prevalent complication (37.5%). The most commonly used resources were mechanical ventilation (93.8%), antibiotics (60.4%), and blood-products transfusions (35.4%). The most common reason for the extended stay was medical reasons (51.1%), followed by a lack of family resources (26.5%) or lack of referral to long-term care facilities (22.4%).
A long-stay is associated with significant critical care bed occupancy, complications, and utilization of resources that could be otherwise utilized as surge capacity for critical care services. Decreasing occupancy in this multicenter study deserves further engagement of the healthcare leaders and families to maximize the utilization of resources. |
| doi_str_mv | 10.15537/smj.2020.11.25450 |
| format | Article |
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This is a 2-points cross-sectional study (5 years apart; 2014-2019) conducted among PICUs and SCICUs in Riyadh, Saudi Arabia. Children who have stayed in PICU for more than 21 days were included.
Out of the 11 units approached, 10 (90%) agreed to participate. The prevalence of LSP in all these hospitals decreased from 32% (48/150) in 2014 to 23.4% (35/149) in 2019. The length of stay ranged from 22 days to 13.5 years. The majority of LSP had a neuromuscular or cardiac disease and were admitted with respiratory compromise. Ventilator-associated pneumonia was the most prevalent complication (37.5%). The most commonly used resources were mechanical ventilation (93.8%), antibiotics (60.4%), and blood-products transfusions (35.4%). The most common reason for the extended stay was medical reasons (51.1%), followed by a lack of family resources (26.5%) or lack of referral to long-term care facilities (22.4%).
A long-stay is associated with significant critical care bed occupancy, complications, and utilization of resources that could be otherwise utilized as surge capacity for critical care services. Decreasing occupancy in this multicenter study deserves further engagement of the healthcare leaders and families to maximize the utilization of resources.</description><identifier>ISSN: 0379-5284</identifier><identifier>EISSN: 1658-3175</identifier><identifier>DOI: 10.15537/smj.2020.11.25450</identifier><identifier>PMID: 33130838</identifier><language>eng</language><publisher>Saudi Arabia: Saudi Medical Journal</publisher><subject><![CDATA[Adolescent ; Anti-Bacterial Agents ; Bed Occupancy - statistics & numerical data ; Blood Transfusion ; Care and treatment ; Child ; Child, Preschool ; Chronically ill children ; Critical Care - statistics & numerical data ; Cross-Sectional Studies ; Economic aspects ; Female ; Health Resources - statistics & numerical data ; Heart Diseases ; Hospital stays ; Humans ; Intensive Care Units, Pediatric - statistics & numerical data ; Length of Stay - statistics & numerical data ; Male ; Neuromuscular Diseases ; Original ; Patient Acceptance of Health Care - statistics & numerical data ; Pediatric intensive care ; Pediatric research ; Pneumonia ; Prevalence ; Quality management ; Respiration, Artificial - statistics & numerical data ; Saudi Arabia - epidemiology ; Time Factors]]></subject><ispartof>Saudi medical journal, 2020-11, Vol.41 (11), p.1187-1196</ispartof><rights>COPYRIGHT 2020 Saudi Medical Journal</rights><rights>Copyright: © Saudi Medical Journal 2020</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7804226/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7804226/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33130838$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Temsah, Mohamad-Hani A</creatorcontrib><creatorcontrib>Al-Eyadhy, Ayman A</creatorcontrib><creatorcontrib>Al-Sohime, Fahad M</creatorcontrib><creatorcontrib>Hassounah, Marwah M</creatorcontrib><creatorcontrib>Almazyad, Mohammed A</creatorcontrib><creatorcontrib>Hasan, Gamal M</creatorcontrib><creatorcontrib>Jamal, Amr A</creatorcontrib><creatorcontrib>Alhaboob, Ali A</creatorcontrib><creatorcontrib>Alabdulhafid, Majed A</creatorcontrib><creatorcontrib>Abouammoh, Noura A</creatorcontrib><creatorcontrib>Alhasan, Khalid A</creatorcontrib><creatorcontrib>Alwohaibi, Abdullah A</creatorcontrib><creatorcontrib>Al Mana, Yousef T</creatorcontrib><creatorcontrib>Alturki, Abdullah T</creatorcontrib><title>Long-stay patients in pediatric intensive care units. Five-years, 2-points, cross-sectional study</title><title>Saudi medical journal</title><addtitle>Saudi Med J</addtitle><description>To explore the changing patterns of long-stay patients (LSP) to improve the utilization of pediatric intensive care units (PICUs) resources.
This is a 2-points cross-sectional study (5 years apart; 2014-2019) conducted among PICUs and SCICUs in Riyadh, Saudi Arabia. Children who have stayed in PICU for more than 21 days were included.
Out of the 11 units approached, 10 (90%) agreed to participate. The prevalence of LSP in all these hospitals decreased from 32% (48/150) in 2014 to 23.4% (35/149) in 2019. The length of stay ranged from 22 days to 13.5 years. The majority of LSP had a neuromuscular or cardiac disease and were admitted with respiratory compromise. Ventilator-associated pneumonia was the most prevalent complication (37.5%). The most commonly used resources were mechanical ventilation (93.8%), antibiotics (60.4%), and blood-products transfusions (35.4%). The most common reason for the extended stay was medical reasons (51.1%), followed by a lack of family resources (26.5%) or lack of referral to long-term care facilities (22.4%).
A long-stay is associated with significant critical care bed occupancy, complications, and utilization of resources that could be otherwise utilized as surge capacity for critical care services. Decreasing occupancy in this multicenter study deserves further engagement of the healthcare leaders and families to maximize the utilization of resources.</description><subject>Adolescent</subject><subject>Anti-Bacterial Agents</subject><subject>Bed Occupancy - statistics & numerical data</subject><subject>Blood Transfusion</subject><subject>Care and treatment</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Chronically ill children</subject><subject>Critical Care - statistics & numerical data</subject><subject>Cross-Sectional Studies</subject><subject>Economic aspects</subject><subject>Female</subject><subject>Health Resources - statistics & numerical data</subject><subject>Heart Diseases</subject><subject>Hospital stays</subject><subject>Humans</subject><subject>Intensive Care Units, Pediatric - statistics & numerical data</subject><subject>Length of Stay - statistics & numerical data</subject><subject>Male</subject><subject>Neuromuscular Diseases</subject><subject>Original</subject><subject>Patient Acceptance of Health Care - statistics & numerical data</subject><subject>Pediatric intensive care</subject><subject>Pediatric research</subject><subject>Pneumonia</subject><subject>Prevalence</subject><subject>Quality management</subject><subject>Respiration, Artificial - statistics & numerical data</subject><subject>Saudi Arabia - epidemiology</subject><subject>Time Factors</subject><issn>0379-5284</issn><issn>1658-3175</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNptkc1u1DAUhS0EokPhBVigSGxYkOC_2M4GqapoQRqJDaytG-dmcJXYIfZUmrevO1OqVsJe2Nf-zpGvDyHvGW1Y2wr9Jc03Dae8lKzhrWzpC7JhqjW1YLp9STZU6K5uuZFn5E1KN5QKpah6Tc6EYIIaYTYEtjHs6pThUC2QPYacKh-qBQcPefWuFBlD8rdYOVix2gefU1NdlYP6gLCmzxWvl1iosnNrTKlO6LKPAaYq5f1weEtejTAlfPewnpPfV99-XX6vtz-vf1xebGsntMp1Lx2wkSomWO86gF6YzsGopRo63YHRozbdIBUVlPUcEDUzwzi0Bh3rB03FOfl68l32_YyDK62sMNll9TOsBxvB2-c3wf-xu3hrtaGSc1UMPj0YrPHvHlO2s08OpwkCxn2yXLbKqDJkQT-e0B1MaH0YY3F097i9UJKqzhipC9X8hypzwNm7GHD05fyZgJ8Ex49ccXx8PaP2GLktkdv7yC1j9hh5EX142vej5F_G4g6yzajX</recordid><startdate>202011</startdate><enddate>202011</enddate><creator>Temsah, Mohamad-Hani A</creator><creator>Al-Eyadhy, Ayman A</creator><creator>Al-Sohime, Fahad M</creator><creator>Hassounah, Marwah M</creator><creator>Almazyad, Mohammed A</creator><creator>Hasan, Gamal M</creator><creator>Jamal, Amr A</creator><creator>Alhaboob, Ali A</creator><creator>Alabdulhafid, Majed A</creator><creator>Abouammoh, Noura A</creator><creator>Alhasan, Khalid A</creator><creator>Alwohaibi, Abdullah A</creator><creator>Al Mana, Yousef T</creator><creator>Alturki, Abdullah T</creator><general>Saudi Medical Journal</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>202011</creationdate><title>Long-stay patients in pediatric intensive care units. Five-years, 2-points, cross-sectional study</title><author>Temsah, Mohamad-Hani A ; Al-Eyadhy, Ayman A ; Al-Sohime, Fahad M ; Hassounah, Marwah M ; Almazyad, Mohammed A ; Hasan, Gamal M ; Jamal, Amr A ; Alhaboob, Ali A ; Alabdulhafid, Majed A ; Abouammoh, Noura A ; Alhasan, Khalid A ; Alwohaibi, Abdullah A ; Al Mana, Yousef T ; Alturki, Abdullah T</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c376t-b4ca1f06131bc9aab389caf746d979a87f789d460301b2aee718dfd58ec1bd703</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Adolescent</topic><topic>Anti-Bacterial Agents</topic><topic>Bed Occupancy - statistics & numerical data</topic><topic>Blood Transfusion</topic><topic>Care and treatment</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Chronically ill children</topic><topic>Critical Care - statistics & numerical data</topic><topic>Cross-Sectional Studies</topic><topic>Economic aspects</topic><topic>Female</topic><topic>Health Resources - statistics & numerical data</topic><topic>Heart Diseases</topic><topic>Hospital stays</topic><topic>Humans</topic><topic>Intensive Care Units, Pediatric - statistics & numerical data</topic><topic>Length of Stay - statistics & numerical data</topic><topic>Male</topic><topic>Neuromuscular Diseases</topic><topic>Original</topic><topic>Patient Acceptance of Health Care - statistics & numerical data</topic><topic>Pediatric intensive care</topic><topic>Pediatric research</topic><topic>Pneumonia</topic><topic>Prevalence</topic><topic>Quality management</topic><topic>Respiration, Artificial - statistics & numerical data</topic><topic>Saudi Arabia - epidemiology</topic><topic>Time Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Temsah, Mohamad-Hani A</creatorcontrib><creatorcontrib>Al-Eyadhy, Ayman A</creatorcontrib><creatorcontrib>Al-Sohime, Fahad M</creatorcontrib><creatorcontrib>Hassounah, Marwah M</creatorcontrib><creatorcontrib>Almazyad, Mohammed A</creatorcontrib><creatorcontrib>Hasan, Gamal M</creatorcontrib><creatorcontrib>Jamal, Amr A</creatorcontrib><creatorcontrib>Alhaboob, Ali A</creatorcontrib><creatorcontrib>Alabdulhafid, Majed A</creatorcontrib><creatorcontrib>Abouammoh, Noura A</creatorcontrib><creatorcontrib>Alhasan, Khalid A</creatorcontrib><creatorcontrib>Alwohaibi, Abdullah A</creatorcontrib><creatorcontrib>Al Mana, Yousef T</creatorcontrib><creatorcontrib>Alturki, Abdullah T</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Saudi medical journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Temsah, Mohamad-Hani A</au><au>Al-Eyadhy, Ayman A</au><au>Al-Sohime, Fahad M</au><au>Hassounah, Marwah M</au><au>Almazyad, Mohammed A</au><au>Hasan, Gamal M</au><au>Jamal, Amr A</au><au>Alhaboob, Ali A</au><au>Alabdulhafid, Majed A</au><au>Abouammoh, Noura A</au><au>Alhasan, Khalid A</au><au>Alwohaibi, Abdullah A</au><au>Al Mana, Yousef T</au><au>Alturki, Abdullah T</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Long-stay patients in pediatric intensive care units. Five-years, 2-points, cross-sectional study</atitle><jtitle>Saudi medical journal</jtitle><addtitle>Saudi Med J</addtitle><date>2020-11</date><risdate>2020</risdate><volume>41</volume><issue>11</issue><spage>1187</spage><epage>1196</epage><pages>1187-1196</pages><issn>0379-5284</issn><eissn>1658-3175</eissn><abstract>To explore the changing patterns of long-stay patients (LSP) to improve the utilization of pediatric intensive care units (PICUs) resources.
This is a 2-points cross-sectional study (5 years apart; 2014-2019) conducted among PICUs and SCICUs in Riyadh, Saudi Arabia. Children who have stayed in PICU for more than 21 days were included.
Out of the 11 units approached, 10 (90%) agreed to participate. The prevalence of LSP in all these hospitals decreased from 32% (48/150) in 2014 to 23.4% (35/149) in 2019. The length of stay ranged from 22 days to 13.5 years. The majority of LSP had a neuromuscular or cardiac disease and were admitted with respiratory compromise. Ventilator-associated pneumonia was the most prevalent complication (37.5%). The most commonly used resources were mechanical ventilation (93.8%), antibiotics (60.4%), and blood-products transfusions (35.4%). The most common reason for the extended stay was medical reasons (51.1%), followed by a lack of family resources (26.5%) or lack of referral to long-term care facilities (22.4%).
A long-stay is associated with significant critical care bed occupancy, complications, and utilization of resources that could be otherwise utilized as surge capacity for critical care services. Decreasing occupancy in this multicenter study deserves further engagement of the healthcare leaders and families to maximize the utilization of resources.</abstract><cop>Saudi Arabia</cop><pub>Saudi Medical Journal</pub><pmid>33130838</pmid><doi>10.15537/smj.2020.11.25450</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record> |
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| issn | 0379-5284 1658-3175 |
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| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; PubMed Central Open Access |
| subjects | Adolescent Anti-Bacterial Agents Bed Occupancy - statistics & numerical data Blood Transfusion Care and treatment Child Child, Preschool Chronically ill children Critical Care - statistics & numerical data Cross-Sectional Studies Economic aspects Female Health Resources - statistics & numerical data Heart Diseases Hospital stays Humans Intensive Care Units, Pediatric - statistics & numerical data Length of Stay - statistics & numerical data Male Neuromuscular Diseases Original Patient Acceptance of Health Care - statistics & numerical data Pediatric intensive care Pediatric research Pneumonia Prevalence Quality management Respiration, Artificial - statistics & numerical data Saudi Arabia - epidemiology Time Factors |
| title | Long-stay patients in pediatric intensive care units. Five-years, 2-points, cross-sectional study |
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