Pediatr Crit Care Me
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Pediatr Crit Care Me · Aug 2018
Multicenter StudyIntensive Care Mortality Prognostic Model for Pediatric Pulmonary Hypertension.
The disease burden and mortality of children with pulmonary hypertension are significantly higher than for the general PICU population. We aimed to develop a risk-adjustment tool predicting PICU mortality for pediatric pulmonary hypertension patients: the Pediatric Index of Pulmonary Hypertension Intensive Care Mortality score. ⋯ The Pediatric Index of Pulmonary Hypertension Intensive Care Mortality score is a parsimonious model that performs better than Pediatric Risk of Mortality 3 and Pediatric Index of Mortality 2 for mortality in a multicenter cohort of pediatric pulmonary hypertension patients admitted to PICUs. Application of the Pediatric Index of Pulmonary Hypertension Intensive Care Mortality model to pulmonary hypertension patients in the PICU might facilitate earlier identification of patients at high risk for mortality and improve the ability to prognosticate for patients and families.
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Pediatr Crit Care Me · Aug 2018
Multicenter StudyRBC Exposure in Pediatric Extracorporeal Membrane Oxygenation: Epidemiology and Factors Associated With Large Blood Transfusion Volume.
To quantify and identify factors associated with large RBC exposure in children supported with extracorporeal membrane oxygenation. ⋯ Bleeding during extracorporeal membrane oxygenation, frequent laboratory draws, and younger age were associated with increased RBC exposure during extracorporeal membrane oxygenation. Higher transfusion volume was associated with increased mortality.
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Pediatr Crit Care Me · Aug 2018
Multicenter StudyAbility to Assent in Pediatric Critical Care Research: A Prospective Environmental Scan of Two Canadian PICUs.
To determine the number of patients considered not appropriate to approach for assent within the first 24 hours of PICU admission. ⋯ Very few patients were considered approachable for assent during the first 24 hours of PICU admission. Those who were considered appropriate to approach were less ill, spent less time in PICU, and were unlikely to be considered for enrollment in pediatric critical care research.