Pediatr Crit Care Me
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Pediatr Crit Care Me · May 2022
Dynamic Mortality Risk Predictions for Children in ICUs: Development and Validation of Machine Learning Models.
Assess a machine learning method of serially updated mortality risk. ⋯ Machine learning models incorporating physiology, therapy, and care intensity can track changes in hospital mortality risk during intensive care. The CI-M's framework and modeling method are potentially applicable to monitoring clinical improvement and deterioration in real time.
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Pediatr Crit Care Me · May 2022
Clinical Features Associated With Need for Mechanical Ventilation in Children With Guillain-Barré Syndrome: Retrospective Cohort From India.
To analyze the clinical features associated with the need for mechanical ventilation (MV) in children with Guillain-Barré syndrome (GBS). ⋯ In children with GBS, referred to our center in North India, severe neuromuscular weakness at admission was associated with the need for MV. Furthermore, greater severity of this examination was associated with need for prolonged (> 21 d) MV. Identification of these signs may help in prioritizing critical care needs and early PICU transfer.
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To describe the demographic, clinical, outcome, and cost differences between children with high-frequency PICU admission and those without. ⋯ Children identified as having HFPICU account for 6.2% of children surviving an index ICU admission. They are a high-risk patient population with increased medical resource utilization during index and subsequent ICU admissions. Patients readmitted within 82 days of discharge should be considered at higher risk of HFPICU status. Further research, including validation and exploration of interventions that may be of use in this patient population, are necessary.
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Pediatr Crit Care Me · May 2022
Observational StudyVitamin C Deficiency in Critically Ill Children: Prospective Observational Cohort Study.
To evaluate the presence of vitamin C deficiency in critically ill children admitted to the PICU. ⋯ Vitamin C deficiency was prevalent in our patients admitted to PICU.