Executive Summary: Criteria for Critical Care of Infants and Children: PICU Admission, Discharge, and Triage Practice Statement and Levels of Care Guidance.


Journal

Pediatrics
ISSN: 1098-4275
Titre abrégé: Pediatrics
Pays: United States
ID NLM: 0376422

Informations de publication

Date de publication:
10 2019
Historique:
pubmed: 7 9 2019
medline: 25 1 2020
entrez: 7 9 2019
Statut: ppublish

Résumé

This is an executive summary of the 2019 update of the 2004 guidelines and levels of care for PICU. Since previous guidelines, there has been a tremendous transformation of Pediatric Critical Care Medicine with advancements in pediatric cardiovascular medicine, transplant, neurology, trauma, and oncology as well as improvements of care in general PICUs. This has led to the evolution of resources and training in the provision of care through the PICU. Outcome and quality research related to admission, transfer, and discharge criteria as well as literature regarding PICU levels of care to include volume, staffing, and structure were reviewed and included in this statement as appropriate. Consequently, the purposes of this significant update are to address the transformation of the field and codify a revised set of guidelines that will enable hospitals, institutions, and individuals in developing the appropriate PICU for their community needs. The target audiences of the practice statement and guidance are broad and include critical care professionals; pediatricians; pediatric subspecialists; pediatric surgeons; pediatric surgical subspecialists; pediatric imaging physicians; and other members of the patient care team such as nurses, therapists, dieticians, pharmacists, social workers, care coordinators, and hospital administrators who make daily administrative and clinical decisions in all PICU levels of care.

Identifiants

pubmed: 31488695
pii: peds.2019-2433
doi: 10.1542/peds.2019-2433
pii:
doi:

Types de publication

Journal Article Practice Guideline Systematic Review

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

Copyright © 2019 by the American Academy of Pediatrics.

Déclaration de conflit d'intérêts

POTENTIAL CONFLICT OF INTEREST: The authors have indicated they have no potential conflicts of interest to disclose.

Auteurs

Benson S Hsu (BS)

Pediatric Critical Care, Sanford School of Medicine, University of South Dakota, Vermillion, South Dakota.

Vanessa Hill (V)

Hospital Medicine, Baylor College of Medicine and Children's Hospital of San Antonio, San Antonio, Texas.

Lorry R Frankel (LR)

Department of Pediatrics and Critical Care Services, California Pacific Medical Center, San Francisco, California.

Timothy S Yeh (TS)

Department of Pediatrics, Saint Barnabas Medical Center, Livingston, New Jersey.

Shari Simone (S)

PICU, Medical Center, University of Maryland, Baltimore, Maryland.

Marjorie J Arca (MJ)

Divisions of Pediatric Surgery and.

Jorge A Coss-Bu (JA)

Pediatrics and Critical Care Medicine, Baylor College of Medicine and Texas Children's Hospital, Houston, Texas.

Mary E Fallat (ME)

Division of Pediatric Surgery, University of Louisville and Norton Children's Hospital, Louisville, Kentucky.

Jason Foland (J)

Pediatric Intensive Care, Studer Family Children's Hospital, Ascension Sacred Heart, Pensacola, Florida.

Samir Gadepalli (S)

Division of Pediatric Surgery, University of Michigan, Ann Arbor, Michigan.

Michael O Gayle (MO)

Pediatric Intensive Care, Wolfson Children's Hospital, Jacksonville, Florida.

Lori A Harmon (LA)

Department of Quality, Society of Critical Care Medicine, Mount Prospect, Illinois.

Christa A Joseph (CA)

Pediatric Intensive Care, Children's Hospital Oakland, Oakland, California.

Aaron D Kessel (AD)

Pediatric Critical Care Medicine, Cohen Children's Medical Center, New Hyde Park, New York.

Niranjan Kissoon (N)

Medical Affairs, British Columbia Children's Hospital, Vancouver, Canada.

Michele Moss (M)

Pediatric Critical Care Medicine, Arkansas Children's Hospital, Little Rock, Arkansas.

Mohan R Mysore (MR)

Pediatrics, Critical Care Medicine, College of Medicine, Medical Center, University of Nebraska, Omaha, Nebraska.

Michele E Papo (ME)

PICU, Medical City Children's Hospital, Dallas, Texas.

Kari L Rajzer-Wakeham (KL)

Pediatric Critical Care Medicine, Children's Hospital of Wisconsin, Wauwatosa, Wisconsin.

Tom B Rice (TB)

Pediatric Critical Care Medicine.

David L Rosenberg (DL)

Pediatrics and Pediatric Intensive Care, Grand Strand Medical Center, Myrtle Beach, South Carolina.

Martin K Wakeham (MK)

Medical College of Wisconsin and Children's Hospital of Wisconsin, Milwaukee, Wisconsin.
Pediatric Critical Care Medicine.

Edward E Conway (EE)

Pediatrics and Pediatric Critical Care Medicine, Jacobi Medical Center, the Bronx, New York; and.

Michael S D Agus (MSD)

Division of Medical Critical Care, Boston Children's Hospital and Harvard Medical School, Harvard University, Boston, Massachusetts.

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Classifications MeSH