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J Pediatr Intensive Care 2021; 10(03): 202-209
DOI: 10.1055/s-0040-1715853
Original Article

Merging Two Hospitals: The Effects on Pediatric Extracorporeal Cardiopulmonary Resuscitation Outcomes

Rebecca Anderson de la Llana
1   Pediatric Intensive Care Unit, Queensland Children's Hospital, Brisbane, Australia
2   Pediatric Critical Care Research Group, Centre for Child Health Research, The University of Queensland, Brisbane, Australia
,
Renate Le Marsney
2   Pediatric Critical Care Research Group, Centre for Child Health Research, The University of Queensland, Brisbane, Australia
,
Kristen Gibbons
2   Pediatric Critical Care Research Group, Centre for Child Health Research, The University of Queensland, Brisbane, Australia
,
Benjamin Anderson
3   Department of Cardiology, Queensland Children's Hospital, Brisbane, Australia
4   School of Medicine, The University of Queensland, Brisbane, Australia
,
Emma Haisz 
1   Pediatric Intensive Care Unit, Queensland Children's Hospital, Brisbane, Australia
2   Pediatric Critical Care Research Group, Centre for Child Health Research, The University of Queensland, Brisbane, Australia
,
Kerry Johnson
1   Pediatric Intensive Care Unit, Queensland Children's Hospital, Brisbane, Australia
2   Pediatric Critical Care Research Group, Centre for Child Health Research, The University of Queensland, Brisbane, Australia
4   School of Medicine, The University of Queensland, Brisbane, Australia
,
Anthony Black
5   Department of Perfusion, Queensland Children's Hospital, Brisbane, Australia
,
Prem Sundar Venugopal 
2   Pediatric Critical Care Research Group, Centre for Child Health Research, The University of Queensland, Brisbane, Australia
5   Department of Perfusion, Queensland Children's Hospital, Brisbane, Australia
6   Department of Cardiothoracic Surgery, Queensland Children's Hospital, Brisbane, Australia
,
Adrian Christian Mattke 
1   Pediatric Intensive Care Unit, Queensland Children's Hospital, Brisbane, Australia
2   Pediatric Critical Care Research Group, Centre for Child Health Research, The University of Queensland, Brisbane, Australia
4   School of Medicine, The University of Queensland, Brisbane, Australia
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Abstract

In this article, a retrospective study was performed to describe the impact of merging two pediatric intensive care units on the overall and neurocognitive outcomes of children who required extracorporeal cardiopulmonary resuscitation (ECPR). Results from three cohorts were compared: 2008 to 2014: premerge, 2014 to 2017: initial time period postmerge, and 2018 to 2019: established merge. Survival to hospital discharge (and with good neurological outcome) was of 68% (61%), 46% (36%), and 79% (71%), respectively, for the three time periods. Merging two hospitals resulted in a nonsignificant trend toward temporary worse outcomes in pediatric patients requiring ECPR.

Keywords

extracorporeal life support - extracorporeal cardiopulmonary resuscitation - hospital mergers


Publication History

Received: 06 May 2020

Accepted: 16 July 2020

Article published online:
31 August 2020

© 2020. Thieme. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 

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