Pediatr Crit Care Me
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Pediatr Crit Care Me · Dec 2021
Pediatric Chronic Critical Illness: Validation, Prevalence, and Impact in a Children's Hospital.
Large populations of chronically critically ill patients test the critical care system's resource utilization ability. Defining and tracking this group is necessary for census predictions. ⋯ Pediatric chronic critical illness patients occupied more than one third of the ICU beds and have five times longer stay. This mounting load needs to be uniformly defined, addressed at regional and national levels, and considered in the current pandemic planning.
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Pediatr Crit Care Me · Dec 2021
Multicenter StudyAnomalous Origin of the Left Coronary Artery From the Pulmonary Artery: A Retrospective Multicenter Study.
We aimed to describe characteristics and operative outcomes from a multicenter cohort of infants who underwent repair of anomalous left coronary artery from the pulmonary artery. We also aimed to identify factors associated with major adverse cardiovascular events following anomalous left coronary artery from the pulmonary artery repair. ⋯ In this contemporary multicenter analysis, one in five children who underwent surgical repair of anomalous left coronary artery from the pulmonary artery experienced major adverse cardiovascular events. Preoperative characteristics such as inotropic support, creatinine, and left ventricular end-diastolic diameter z score should be considered when planning for potential postoperative complications.
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Pediatr Crit Care Me · Dec 2021
Association Between Anticholinergic Drug Burden and Adequacy of Enteral Nutrition in Critically Ill, Mechanically Ventilated Pediatric Patients.
Enteral nutrition delivery is limited by intolerance and interruptions in critically ill children. Anticholinergic properties of frequently administered medications may contribute to altered gastric motility and enteral nutrition intolerance in this population. We examined the association between the anticholinergic burden of administered medications using the Anticholinergic Drug Scale and adequacy of enteral nutrition delivery. ⋯ Anticholinergic burden from medications administered in the PICU is a potentially modifiable factor for suboptimal enteral nutrition delivery.
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To describe the geography of pediatric critical care services and the relationship between poverty and distance to these services across the United States. ⋯ In the United States, the distance to pediatric critical care services increases with poverty. This carries implications for access to care and health outcome disparities.