Immediate and 5-year cumulative outcome after paediatric intensive care in Sweden
(2008) In Acta Anaesthesiologica Scandinavica 52(8). p.1086-1095- Abstract
- Background: Little has been reported about intensive care of children in Sweden. The aims of this study are to (I) assess the number of admissions, types of diagnoses and length-of-stay (LOS) for all Swedish children admitted to intensive care during the years 1998-2001, and compare paediatric intensive care units (PICUs) with other intensive care units (adult ICUs) (II) assess immediate (ICU) and cumulative 5-year mortality and (III) determine the actual consumption of paediatric intensive care for the defined age group in Sweden. Methods: Children between 6 months and 16 years of age admitted to intensive care in Sweden were included in a national multicentre, ambidirectional cohort study. In PICUs, data were also collected for infants... (More)
- Background: Little has been reported about intensive care of children in Sweden. The aims of this study are to (I) assess the number of admissions, types of diagnoses and length-of-stay (LOS) for all Swedish children admitted to intensive care during the years 1998-2001, and compare paediatric intensive care units (PICUs) with other intensive care units (adult ICUs) (II) assess immediate (ICU) and cumulative 5-year mortality and (III) determine the actual consumption of paediatric intensive care for the defined age group in Sweden. Methods: Children between 6 months and 16 years of age admitted to intensive care in Sweden were included in a national multicentre, ambidirectional cohort study. In PICUs, data were also collected for infants aged 1-6 months. Survival data were retrieved from the National Files of Registration, 5 years after admission. Results: Eight-thousand sixty-three admissions for a total of 6661 patients were identified, corresponding to an admission rate of 1.59/1000 children per year. Median LOS was 1 day. ICU mortality was 2.1% and cumulative 5-year mortality rate was 5.6%. Forty-four per cent of all admissions were to a PICU. Conclusions: This study has shown that Sweden has a low immediate ICU mortality, similar in adult ICU and PICU. Patients discharged alive from an ICU had a 20-fold increased mortality risk, compared with a control cohort for the 5-year period. Less than half of the paediatric patients admitted for intensive care in Sweden were cared for in a PICU. Studies are needed to evaluate whether a centralization of paediatric intensive care in Sweden would be beneficial to the paediatric population. (Less)
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https://lup.lub.lu.se/record/1252061
- author
- Gullberg, N. ; Kalzen, H. ; Luhr, O. ; Gothberg, S. ; Winso, O. ; Markstrom, A. ; Olsson, Ann-Kristin LU and Frostell, C.
- organization
- publishing date
- 2008
- type
- Contribution to journal
- publication status
- published
- subject
- in
- Acta Anaesthesiologica Scandinavica
- volume
- 52
- issue
- 8
- pages
- 1086 - 1095
- publisher
- Blackwell Munksgaard
- external identifiers
-
- wos:000258593200010
- scopus:49849083059
- pmid:18840109
- ISSN
- 0001-5172
- DOI
- 10.1111/j.1399-6576.2008.01711.x
- language
- English
- LU publication?
- yes
- id
- b9024f4d-5c96-4b76-993c-526e02c07708 (old id 1252061)
- date added to LUP
- 2016-04-01 12:17:50
- date last changed
- 2025-01-02 12:50:49
@article{b9024f4d-5c96-4b76-993c-526e02c07708,
abstract = {{Background: Little has been reported about intensive care of children in Sweden. The aims of this study are to (I) assess the number of admissions, types of diagnoses and length-of-stay (LOS) for all Swedish children admitted to intensive care during the years 1998-2001, and compare paediatric intensive care units (PICUs) with other intensive care units (adult ICUs) (II) assess immediate (ICU) and cumulative 5-year mortality and (III) determine the actual consumption of paediatric intensive care for the defined age group in Sweden. Methods: Children between 6 months and 16 years of age admitted to intensive care in Sweden were included in a national multicentre, ambidirectional cohort study. In PICUs, data were also collected for infants aged 1-6 months. Survival data were retrieved from the National Files of Registration, 5 years after admission. Results: Eight-thousand sixty-three admissions for a total of 6661 patients were identified, corresponding to an admission rate of 1.59/1000 children per year. Median LOS was 1 day. ICU mortality was 2.1% and cumulative 5-year mortality rate was 5.6%. Forty-four per cent of all admissions were to a PICU. Conclusions: This study has shown that Sweden has a low immediate ICU mortality, similar in adult ICU and PICU. Patients discharged alive from an ICU had a 20-fold increased mortality risk, compared with a control cohort for the 5-year period. Less than half of the paediatric patients admitted for intensive care in Sweden were cared for in a PICU. Studies are needed to evaluate whether a centralization of paediatric intensive care in Sweden would be beneficial to the paediatric population.}},
author = {{Gullberg, N. and Kalzen, H. and Luhr, O. and Gothberg, S. and Winso, O. and Markstrom, A. and Olsson, Ann-Kristin and Frostell, C.}},
issn = {{0001-5172}},
language = {{eng}},
number = {{8}},
pages = {{1086--1095}},
publisher = {{Blackwell Munksgaard}},
series = {{Acta Anaesthesiologica Scandinavica}},
title = {{Immediate and 5-year cumulative outcome after paediatric intensive care in Sweden}},
url = {{http://dx.doi.org/10.1111/j.1399-6576.2008.01711.x}},
doi = {{10.1111/j.1399-6576.2008.01711.x}},
volume = {{52}},
year = {{2008}},
}