Pediatr Crit Care Me
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Pediatr Crit Care Me · Mar 2022
Multicenter StudyDevelopmental Care Practice and Documentation Variability in the Cardiac ICU.
Describe variability in developmental care practices, as documented in the electronic health record, for infants undergoing congenital heart surgery. ⋯ There are significant, quantifiable variations in documented developmental care practices at both the individual and site level. More reliable documentation of developmental care practices is required to associate these variables with later outcomes and investigate disparities in individualized developmental care practices.
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Pediatr Crit Care Me · Mar 2022
Multicenter StudyHospital Charges Associated With Critical Bronchiolitis From 2009 to 2019.
To evaluate the contribution of PICU care to increasing hospital charges for patients with bronchiolitis over a 10-year study period. ⋯ In a multicenter cohort study of children hospitalized with bronchiolitis, PICU patients, especially low-risk children without the need for IMV, were the highest driver of increased hospital charges over a 10-year study period.
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Pediatr Crit Care Me · Mar 2022
Postoperative Acute Kidney Injury in Williams Syndrome Compared With Matched Controls.
Cardiovascular manifestations occur in over 80% of Williams syndrome (WS) patients and are the leading cause of morbidity and mortality. One-third of patients require cardiovascular surgery. Renal artery stenosis (RAS) is common in WS. No studies have assessed postoperative cardiac surgery-related acute kidney injury (CS-AKI) in WS. Our objectives were to assess if WS patients have higher risk of CS-AKI postoperatively than matched controls and if RAS could contribute to CS-AKI. ⋯ The OR of CS-AKI is increased in pediatric patients with WS compared with controls. CS-AKI was associated with VIS at the sixth postoperative hour. Increases in RPP and mean arterial pressure were associated with decreased odds of CS-AKI.
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Pediatr Crit Care Me · Mar 2022
Editorial CommentLatent Safety Threats in the PICU: Finding the Unseen.