Gibson, A. R., Limb, J. and Bell, G. (2014) Retrospective audit of unplanned admissions to pediatric high dependency and intensive care after surgery. Paediatric Anaesthesia, 24(4), pp. 372-376. (doi: 10.1111/pan.12343)
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Abstract
Background: Unplanned admissions to intensive care after surgery are a recommended clinical indicator of patient safety in the perioperative period and are validated to reflect both surgical and anesthesia-related complications.
Objectives: To determine the rate and reasons for unplanned admissions to high dependency (HDU) and pediatric intensive care (PICU) following noncardiac surgery. Methods: Data, including diagnosis, operation, and history of presenting complaint, were retrieved from electronic HDU and PICU data and hospital records for a 5-year period. All cases were individually reviewed by two pediatric anesthetists to identify unplanned admissions along with their urgency, source, and cause. Results: During the study period, 53 876 procedures were performed resulting in 319 unplanned admissions to HDU/PICU, a rate of 0.6%. Of these, 108 (34%) were related to complications of anesthesia. The rate of unplanned admission to HDU/PICU secondary to a complication of anesthesia was therefore 0.2%. Emergency procedures and procedures involving a shared airway were particular risk factors for admission. Conclusion: The rate of unplanned admission to HDU/PICU is low and is comparable to previously published data. The high number of admissions following procedures involving a shared airway may represent patient-related factors and the case mix at this hospital. However, such a finding has prompted a combined ENT and anesthetic review of the care pathway for children with problems following airway instrumentation.Item Type: | Articles |
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Status: | Published |
Refereed: | Yes |
Glasgow Author(s) Enlighten ID: | Bell, Mr Graham and Gibson, Mr Alexander |
Authors: | Gibson, A. R., Limb, J., and Bell, G. |
College/School: | College of Medical Veterinary and Life Sciences > School of Medicine, Dentistry & Nursing |
Journal Name: | Paediatric Anaesthesia |
Publisher: | Wiley-Blackwell Publishing Ltd. |
ISSN: | 1155-5645 |
ISSN (Online): | 1460-9592 |
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