J Pediatr Intensive Care 2018; 07(01): 001-006
DOI: 10.1055/s-0037-1601337
Original Article
Georg Thieme Verlag KG Stuttgart · New York

Characteristics and Outcomes of Long-Stay Patients in the Pediatric Intensive Care Unit

Angela Hui Ping Kirk
1  Division of Nursing, KK Women's and Children's Hospital, Singapore
,
Qian Wen Sng
1  Division of Nursing, KK Women's and Children's Hospital, Singapore
,
Lu Qin Zhang
1  Division of Nursing, KK Women's and Children's Hospital, Singapore
,
Judith Ju Ming Wong
2  Department of Pediatric Medicine, KK Women's and Children's Hospital, Singapore
,
Janil Puthucheary
3  Children's Intensive Care Unit, Department of Pediatric Subspecialties, KK Women's and Children's Hospital, Singapore
4  Office of Clinical Sciences, Duke-NUS School of Medicine, Singapore
,
Jan Hau Lee
3  Children's Intensive Care Unit, Department of Pediatric Subspecialties, KK Women's and Children's Hospital, Singapore
4  Office of Clinical Sciences, Duke-NUS School of Medicine, Singapore
› Author Affiliations
Further Information

Publication History

05 January 2017

18 February 2017

Publication Date:
20 March 2017 (eFirst)

Abstract

Long-stay patients in the PICU have a higher risk of mortality as compared with non–long-stay patients. We aim to describe mortality and characteristics of long-stay patients and to determine the risk factors for mortality in these children. Total 241 (4.8%) long-stay admissions were identified. Mortality of long-stayers was 48/241 (20%). Higher severity-of-illness score at admission, need for organ support therapies, number of nosocomial infections, and bloodstream nosocomial infection were associated with a higher mortality in long-stay patients in the PICU. Based on multivariate analysis, oncologic diagnosis as a preexisting comorbidity is a strong independent predictor of mortality for long-stay patients.

Note

This investigation was approved by the SingHealth institutional review board, without need for informed consent. The authors declare that they have no competing interests. None of the authors received any funding for this study.