Immediate and 5-year cumulative outcome after paediatric intensive care in Sweden
2008 (English)In: Acta Anaesthesiol Scand, Vol. 52, no 8, 1086-95 p.Article in journal (Refereed) Published
BACKGROUND: Little has been reported about intensive care of children in Sweden. The aims of this study are to (I) assess the number of admissions, types of diagnoses and length-of-stay (LOS) for all Swedish children admitted to intensive care during the years 1998-2001, and compare paediatric intensive care units (PICUs) with other intensive care units (adult ICUs) (II) assess immediate (ICU) and cumulative 5-year mortality and (III) determine the actual consumption of paediatric intensive care for the defined age group in Sweden. METHODS: Children between 6 months and 16 years of age admitted to intensive care in Sweden were included in a national multicentre, ambidirectional cohort study. In PICUs, data were also collected for infants aged 1-6 months. Survival data were retrieved from the National Files of Registration, 5 years after admission. RESULTS: Eight-thousand sixty-three admissions for a total of 6661 patients were identified, corresponding to an admission rate of 1.59/1000 children per year. Median LOS was 1 day. ICU mortality was 2.1% and cumulative 5-year mortality rate was 5.6%. Forty-four per cent of all admissions were to a PICU. CONCLUSIONS: This study has shown that Sweden has a low immediate ICU mortality, similar in adult ICU and PICU. Patients discharged alive from an ICU had a 20-fold increased mortality risk, compared with a control cohort for the 5-year period. Less than half of the paediatric patients admitted for intensive care in Sweden were cared for in a PICU. Studies are needed to evaluate whether a centralization of paediatric intensive care in Sweden would be beneficial to the paediatric population.
Place, publisher, year, edition, pages
2008. Vol. 52, no 8, 1086-95 p.
IdentifiersURN: urn:nbn:se:umu:diva-31396ISBN: 1399-6576 (Electronic)OAI: oai:DiVA.org:umu-31396DiVA: diva2:292941
Gullberg, N Kalzen, H Luhr, O Gothberg, S Winso, O Markstrom, A Olsson, A-K Frostell, C Scandinavian Critical Care Trials Group Research Support, Non-U.S. Gov't England Acta anaesthesiologica Scandinavica Acta Anaesthesiol Scand. 2008 Sep;52(8):1086-95.2010-02-102010-02-102010-02-10