Outcomes and predictors of unplanned intensive care unit admission for pediatric trauma patients
Background: Unplanned intensive care unit (ICU) admission (UIA) is associated with increased morbidity in adult trauma patients, however, is not well studied in pediatric trauma patients (PTPs). We sought to identify predictors of UIA, hypothesizing PTPs with UIA have increased odds of mortality. Me...
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Elsevier
2025-01-01
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| Series: | Surgery Open Science |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2589845024001386 |
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| author | Tyler Liang, MD Areg Grigorian, MD Robert Painter, MD James Jeng, MD Theresa Chin, MD Laura F. Goodman, MD MPH Yigit S. Guner, MD Catherine Kuza, MD Jeffry Nahmias, MD MHPE |
| author_facet | Tyler Liang, MD Areg Grigorian, MD Robert Painter, MD James Jeng, MD Theresa Chin, MD Laura F. Goodman, MD MPH Yigit S. Guner, MD Catherine Kuza, MD Jeffry Nahmias, MD MHPE |
| author_sort | Tyler Liang, MD |
| collection | DOAJ |
| description | Background: Unplanned intensive care unit (ICU) admission (UIA) is associated with increased morbidity in adult trauma patients, however, is not well studied in pediatric trauma patients (PTPs). We sought to identify predictors of UIA, hypothesizing PTPs with UIA have increased odds of mortality. Methods: The 2017–2019 Trauma Quality Improvement Program (TQIP) database was queried for PTPs ≤16-years-old admitted to non-ICU level of care. Patients with UIA were compared to those without UIA. Multivariable logistic regression analysis was performed to determine predictors of UIA. Results: From 142,160 PTPs, 233 patients had UIA (<1 %). The UIA group had increased acute kidney injury (2.6 % vs 0 %, p < 0.001), length of stay (7 vs 2 days, p < 0.001), and mortality (1.3 % vs. 0.1 %, p < 0.001). Independent predictors of UIA included ureteral, esophageal, and brain injury (all p < 0.001). Conclusion: UIA for PTPs is rare but associated with increased complications and death. Significant predictors of UIA include ureteral, esophageal and brain injury. |
| format | Article |
| id | doaj-art-3b2befe18f02489fb6b9caa16356cbbf |
| institution | Kabale University |
| issn | 2589-8450 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Surgery Open Science |
| spelling | doaj-art-3b2befe18f02489fb6b9caa16356cbbf2025-01-31T05:12:13ZengElsevierSurgery Open Science2589-84502025-01-01233034Outcomes and predictors of unplanned intensive care unit admission for pediatric trauma patientsTyler Liang, MD0Areg Grigorian, MD1Robert Painter, MD2James Jeng, MD3Theresa Chin, MD4Laura F. Goodman, MD MPH5Yigit S. Guner, MD6Catherine Kuza, MD7Jeffry Nahmias, MD MHPE8Division of Trauma, Burns, Critical Care & Acute Care Surgery, University of California Irvine, 101 The City Dr S, Orange, CA 92868, USADivision of Trauma, Burns, Critical Care & Acute Care Surgery, University of California Irvine, 101 The City Dr S, Orange, CA 92868, USADivision of Trauma, Burns, Critical Care & Acute Care Surgery, University of California Irvine, 101 The City Dr S, Orange, CA 92868, USADivision of Trauma, Burns, Critical Care & Acute Care Surgery, University of California Irvine, 101 The City Dr S, Orange, CA 92868, USADivision of Trauma, Burns, Critical Care & Acute Care Surgery, University of California Irvine, 101 The City Dr S, Orange, CA 92868, USAChildren's Health of Orange County, 1201 W La Veta Ave, Orange, CA 92868, USAChildren's Health of Orange County, 1201 W La Veta Ave, Orange, CA 92868, USADepartment of Anesthesiology, Keck School of Medicine of the University of Southern California, Keck Hospital of USC, 1500 San Pablo Street, Los Angeles, CA 90033, USADivision of Trauma, Burns, Critical Care & Acute Care Surgery, University of California Irvine, 101 The City Dr S, Orange, CA 92868, USA; Corresponding author.Background: Unplanned intensive care unit (ICU) admission (UIA) is associated with increased morbidity in adult trauma patients, however, is not well studied in pediatric trauma patients (PTPs). We sought to identify predictors of UIA, hypothesizing PTPs with UIA have increased odds of mortality. Methods: The 2017–2019 Trauma Quality Improvement Program (TQIP) database was queried for PTPs ≤16-years-old admitted to non-ICU level of care. Patients with UIA were compared to those without UIA. Multivariable logistic regression analysis was performed to determine predictors of UIA. Results: From 142,160 PTPs, 233 patients had UIA (<1 %). The UIA group had increased acute kidney injury (2.6 % vs 0 %, p < 0.001), length of stay (7 vs 2 days, p < 0.001), and mortality (1.3 % vs. 0.1 %, p < 0.001). Independent predictors of UIA included ureteral, esophageal, and brain injury (all p < 0.001). Conclusion: UIA for PTPs is rare but associated with increased complications and death. Significant predictors of UIA include ureteral, esophageal and brain injury.http://www.sciencedirect.com/science/article/pii/S2589845024001386Unplanned intensive care unit admissionsPediatric trauma |
| spellingShingle | Tyler Liang, MD Areg Grigorian, MD Robert Painter, MD James Jeng, MD Theresa Chin, MD Laura F. Goodman, MD MPH Yigit S. Guner, MD Catherine Kuza, MD Jeffry Nahmias, MD MHPE Outcomes and predictors of unplanned intensive care unit admission for pediatric trauma patients Surgery Open Science Unplanned intensive care unit admissions Pediatric trauma |
| title | Outcomes and predictors of unplanned intensive care unit admission for pediatric trauma patients |
| title_full | Outcomes and predictors of unplanned intensive care unit admission for pediatric trauma patients |
| title_fullStr | Outcomes and predictors of unplanned intensive care unit admission for pediatric trauma patients |
| title_full_unstemmed | Outcomes and predictors of unplanned intensive care unit admission for pediatric trauma patients |
| title_short | Outcomes and predictors of unplanned intensive care unit admission for pediatric trauma patients |
| title_sort | outcomes and predictors of unplanned intensive care unit admission for pediatric trauma patients |
| topic | Unplanned intensive care unit admissions Pediatric trauma |
| url | http://www.sciencedirect.com/science/article/pii/S2589845024001386 |
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