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9.2 - Organisation of Paediatric Intensive Care and Paediatric Intensive Care Transport Services in the UK

from Section 9 - Paediatric Care

Published online by Cambridge University Press:  27 July 2023

By
Andrew J. Jones  and
Thomas Brick
Edited by
Ned Gilbert-Kawai ,
Debashish Dutta  and
Carl Waldmann
Ned Gilbert-Kawai
Affiliation:
The Royal Liverpool Hospital
Debashish Dutta
Affiliation:
Princess Alexandra Hospital NHS Trust, Harlow
Carl Waldmann
Affiliation:
Royal Berkshire Hospital, Reading
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Summary

Key Learning Points

  1. 1. In the UK, centralisation of services in the paediatric intensive care unit (PICU) has saved lives.

  2. 2. The development of paediatric intensive care transport services has accompanied the centralisation of paediatric intensive care.

  3. 3. Paediatric critical illness scoring systems (e.g. paediatric index of mortality (PIM) and paediatric risk of mortality (PRISM)) enable comparisons between units and across time to be made.

  4. 4. Current mortality in the paediatric intensive care unit (PICU) in the UK is around 3 per cent.

  5. 5. Nearly 6 in 10 PICU admissions in the UK are for children with life-limiting conditions.

Keywords

paediatric intensive carepaediatric intensive care transportPIM scorePRISM scorefunnel plots
Type
Chapter
Information
Intensive Care Medicine
The Essential Guide
 , pp. 692 - 694
Publisher: Cambridge University Press
Print publication year: 2021

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References

References and Further Reading

Fraser, LK, Parslow, R. Children with life-limiting conditions in paediatric intensive care units: a national cohort, data linkage study. Arch Dis Child 2018;103:540–7.CrossRefGoogle ScholarPubMed
Namachivayam, P, Shann, F, Shekerdemian, L, et al. Three decades of pediatric intensive care: who was admitted, what happened in intensive care, and what happened afterward. Pediatr Crit Care Med 2010;11:549–55.CrossRefGoogle ScholarPubMed
Namachivayam, P, Taylor, A, Montague, T, et al. Long-stay children in intensive care: long-term functional outcome and quality of life from a 20-yr institutional study. Pediatr Crit Care Med 2012;13:520–8.CrossRefGoogle ScholarPubMed
Pearson, G, Shann, F, Barry, P, et al. Should paediatric intensive care be centralised? Trent versus Victoria. Lancet 1997;349:1213–17.CrossRefGoogle ScholarPubMed
PICANet. 2017. PICANet annual report 2017. www.picanet.org.uk/Audit/Annual-Reporting/Google Scholar
Ramnarayan, P. Measuring the performance of an inter-hospital transport service. Arch Dis Child 2009;94:414–16.CrossRefGoogle ScholarPubMed
Vos, GD, Nissen, AC, Nieman, FHM, et al. Comparison of interhospital pediatric intensive care transport accompanied by a referring specialist or a specialist retrieval team. Intensive Care Med 2004;30:302–8.CrossRefGoogle ScholarPubMed
Wilkinson, D. Beyond resources: denying parental requests for futile treatment. Lancet 2017;389:1866–7.CrossRefGoogle ScholarPubMed

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