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The critically ill children study: a prospective study of the provision and outcome of paediatric intensive care in the South West

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Evidence-based Child Health Care

Abstract

There has in recent years been an increased focus, on the part of both professional bodies and the media, on the needs of critically ill children in the UK. The British Paediatric Association (BPA) survey published in 1993 identified a lack of paediatric intensive care beds in the UK and recommended that all critically ill children should be cared for in paediatric intensive care units (PICUs). The publication of Paediatric Intensive Care: A Framework for the Future, and its companion publication A Bridge to the Future, by the National Health Service (NHS) Executive (1997) reiterated these recommendations, although the impact of this has yet to be evaluated. The recommendations are based upon evidence from Australia and the USA demonstrating that critically ill children have an improved outcome if cared for in tertiary centres. A tertiary centre has been defined as a regional children’s hospital with a dedicated PICU fulfilling set criteria of standards for medical staff, nursing staff and the facilities available (Pollack et al., 1991).

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References

  • Balakrishnan G., Aitchison T., Hallworth D. and Morton N. S. (1992) ‘Prospective evaluation of the Paediatric Risk of Mortality (PRISM) score’, Archives of Disease in Childhood 67: 196–200.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Barry P. W. and Hocking M. D. (1994) ‘Paediatric use of intensive care’, Archives of Disease in Childhood 70: 391–4.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Barry P. W. and Ralston C. (1994) ‘Adverse events occurring during interhospital transfer of the critically ill’, Archives of Disease in Childhood 71: 8–11.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Bennett J. (1997) ‘Critically ill children: the case for short-term care in general intensive care units’, Intensive and Critical Care Nursing 13 (1): 53–7.

    Article  CAS  PubMed  Google Scholar 

  • British Paediatric Association (1993) The Care of Critically Ill Children. Report of the Multidisciplinary Working Party on Paediatric Intensive Care, London, BPA.

    Google Scholar 

  • Britto J., Nadel S., Maconochie I., Levin M. and Habibi P. (1995) ‘Morbidity and severity of illness during interhospital transfer: impact of a specialised paediatric retrieval team’, British Medical Journal 311: 836–9.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Cullen D. J., Civetta J. M., Briggs B. A. et al. (1974) ‘Therapeutic intervention scoring system: a method for qualitative comparison of patient care’, Critical Care Medicine 2: 57–60.

    Article  CAS  PubMed  Google Scholar 

  • Farley D. E. and Ozminkowski R. J. (1992) ‘Volume–outcome relationships and inhospital mortality: the effect of changes in volume over time’, Medical Care 30: 77–94.

    Article  CAS  PubMed  Google Scholar 

  • Field D., Hodges S., Mason E. and Burton P. (1991) ‘Survival and place of treatment of premature delivery’, Archives of Disease in Childhood, 66: 408–11.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Fiser D. H. (1992) ‘Assessing the outcome of paediatric intensive care’, Journal of Paediatrics 121: 68–74.

    Article  CAS  Google Scholar 

  • Goddard J. M. (1992) ‘Pediatric risk of mortality scoring overestimates severity of illness in infants’, Critical Care Medicine 20 (12): 1662–5.

    Article  CAS  PubMed  Google Scholar 

  • Kanter R. K, and Tompkins J. M. (1989) ‘Adverse events during interhospital transport: physiological deterioration associated with pretransport severity of illness’, Pediatrics 84: 43–8.

    CAS  PubMed  Google Scholar 

  • Malstam J. and Lind L. (1992) ‘Therapeutic intervention scoring system (TISS)–a method for measuring workload and calculating costs in the ICU’, Acta Anaesthesiologica Scandinavica 36: 758–63.

    Article  CAS  PubMed  Google Scholar 

  • NHS Executive (1997) Paediatric Intensive Care: A Bridge to the Future, Report of the Chief Nursing Officer’s Task force to the Chief Executive of the NHS Executive. London, NHSE.

    Google Scholar 

  • NHS Executive (1997) Paediatric Intensive Care: A Framework for the Future, Report from the National Co-odinating Group on Intensive Care to The Chief Executive of the NHS Executive, London, NHSE.

    Google Scholar 

  • NHS Executive South and West (1994) Discussion Paper on the Care of Critically Ill Children. Section 5: 13–20. Bristol.

    Google Scholar 

  • Office of Population Census and Surveys (1991) Census Outline Statistics for England and Wales, London, Government Statistical Service.

    Google Scholar 

  • Paediatric Intensive Care Society (1993) Standards for Paediatric Intensive Care Mosby Year Book Europe.

    Google Scholar 

  • Pearson G., Shann F. and Barry P. (1997) ‘Should paediatric intensive care be centralised? Trent versus Victoria’, Lancet 344: 1213–17.

    Article  Google Scholar 

  • Pollack M. M., Ruttimann U. E. and Getson P. R. (1988) ‘Pediatric risk of mortality (PRISM) score’, Critical Care Medicine 16: 1110–16.

    Article  CAS  PubMed  Google Scholar 

  • Pollack M. M., Alexander S. R., Clarke N., Ruttiman V. E., Tesselaar H. M. and Bachulis A. (1991) ‘Improved outcomes from tertiary centre paediatric intensive care: a statewide comparison’, Critical Care Medicine 19: 150–9.

    Article  CAS  PubMed  Google Scholar 

  • Pollack M. M., Kantial M. P. and Ruttiman U. E. (1996) PRISM III: an updated pediatric risk of mortality score’, Critical Care Medicine 24 (5): 743–52.

    Article  CAS  PubMed  Google Scholar 

  • Rowan K. (1994) Personal communication in A Critical Appraisal of the Care of Critically Ill Children, NHS Centre for Reviews and Dissemination, University of York.

    Google Scholar 

  • Shann F. (1993a) ‘Paediatric intensive care’, Lancet 342: 1240.

    Article  CAS  PubMed  Google Scholar 

  • Shann F. (1993b) ‘Australian view of paediatric intensive care in Britain’, Lancet 342: 68.

    Article  CAS  PubMed  Google Scholar 

  • Shann F., Pearson G., Slater A. and Wilkinson K. (1997) ‘Paediatric index of mortality (PIM): a mortality prediction model for children in intensive care’, Intensive Care Medicine 23: 201–7.

    Article  CAS  PubMed  Google Scholar 

  • Yeh T. S. (1992) ‘Regionalisation of paediatric critical care’, Critical Care Clinics 8: 23–35.

    CAS  PubMed  Google Scholar 

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Warne, S., Garland, L., Bailey, L., Edees, S., Weir, P., Henderson, J. (2000). The critically ill children study: a prospective study of the provision and outcome of paediatric intensive care in the South West. In: Glasper, E.A., Ireland, L. (eds) Evidence-based Child Health Care. Palgrave, London. https://doi.org/10.1007/978-0-333-98239-6_13

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  • DOI: https://doi.org/10.1007/978-0-333-98239-6_13

  • Publisher Name: Palgrave, London

  • Print ISBN: 978-0-333-80230-4

  • Online ISBN: 978-0-333-98239-6

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