Adults with childhood-onset chronic conditions admitted to U.S. pediatric and adult intensive care units
Identifieur interne : 004042 ( Main/Exploration ); précédent : 004041; suivant : 004043Adults with childhood-onset chronic conditions admitted to U.S. pediatric and adult intensive care units
Auteurs : Jeffrey D. Edwards [États-Unis] ; Eduard E. Vasilevskis [États-Unis] ; Erika J. Yoo [États-Unis] ; Amy J. Houtrow [États-Unis] ; W John Boscardin [États-Unis] ; R Adams Dudley [États-Unis] ; Megumi J. Okumura [États-Unis]Source :
- Journal of critical care [ 0883-9441 ] ; 2014.
Descripteurs français
- KwdFr :
- Adulte, Bases de données factuelles (), Capacité hospitalière (), Durée du séjour, Facteurs de l'âge, Femelle, Hospitalisation (), Humains, Jeune adulte, Maladie chronique (), Maladie chronique (mortalité), Maladie chronique (épidémiologie), Mâle, Plaies et blessures (épidémiologie), Soins de réanimation, Sortie du patient (), Transition aux soins pour adultes, Unités de soins intensifs (utilisation), Unités de soins intensifs pédiatriques (utilisation), Âge de début, Études rétrospectives, Études transversales.
- MESH :
- mortalité : Maladie chronique.
- utilisation : Unités de soins intensifs, Unités de soins intensifs pédiatriques.
- épidémiologie : Maladie chronique, Plaies et blessures.
- Adulte, Bases de données factuelles, Capacité hospitalière, Durée du séjour, Facteurs de l'âge, Femelle, Hospitalisation, Humains, Jeune adulte, Maladie chronique, Mâle, Soins de réanimation, Sortie du patient, Transition aux soins pour adultes, Âge de début, Études rétrospectives, Études transversales.
English descriptors
- KwdEn :
- Adult, Age Factors, Age of Onset, Chronic Disease (epidemiology), Chronic Disease (mortality), Chronic Disease (therapy), Critical Care, Cross-Sectional Studies, Databases, Factual (statistics & numerical data), Female, Hospital Bed Capacity (statistics & numerical data), Hospitalization (statistics & numerical data), Humans, Intensive Care Units (utilization), Intensive Care Units, Pediatric (utilization), Length of Stay, Male, Patient Discharge (statistics & numerical data), Retrospective Studies, Transition to Adult Care, Wounds and Injuries (epidemiology), Young Adult.
- MESH :
- epidemiology : Chronic Disease, Wounds and Injuries.
- mortality : Chronic Disease.
- statistics & numerical data : Databases, Factual, Hospital Bed Capacity, Hospitalization, Patient Discharge.
- therapy : Chronic Disease.
- utilization : Intensive Care Units, Intensive Care Units, Pediatric.
- Adult, Age Factors, Age of Onset, Critical Care, Cross-Sectional Studies, Female, Humans, Length of Stay, Male, Retrospective Studies, Transition to Adult Care, Young Adult.
Abstract
To compare demographics, intensive care units (ICU) admission characteristics, and ICU outcomes among adults with childhood-onset chronic conditions (COCC) admitted to U.S. pediatric and adult ICUs.
Retrospective cross-sectional analyses of 6,088 adults aged 19–40 years admitted in 2008 to 70 pediatric ICUs that participated in the Virtual Pediatric Intensive Care Unit Performance Systems and 50 adult ICUs that participated in Project IMPACT.
COCC were present in 53% of young adults admitted to pediatric units, compared to 9% of those in adult units. The most common COCC in both groups were congenital cardiac abnormalities, cerebral palsy, and chromosomal abnormalities. Adults with COCC admitted to pediatric units were significantly more likely to be younger, have lower functional status, and be non-trauma patients than those in adult units. The median ICU length-of-stay was 2 days and the intensive care unit mortality rate was 5% for all COCC patients with no statistical difference between pediatric or adult units.
There are marked differences in characteristics between young adults with COCC admitted to PICUs and adult ICUs. Barriers to accommodating these young adults may be reasons why many such adults have not transitioned from pediatric to adult critical care.
Url:
DOI: 10.1016/j.jcrc.2014.10.016
PubMed: 25466316
PubMed Central: 4268241
Affiliations:
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Vasilevskis</name><affiliation wicri:level="2"><nlm:aff id="A2">Division of General Internal Medicine and Public Health, Vanderbilt University School of Medicine, Nashville, TN</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Tennessee</region></placeName><wicri:cityArea>Division of General Internal Medicine and Public Health, Vanderbilt University School of Medicine, Nashville</wicri:cityArea></affiliation><affiliation wicri:level="2"><nlm:aff id="A3">Geriatric Research, Education and Clinical Center (GRECC) Service, Department of Veterans Affairs Medical Center, Tennessee Valley Healthcare System, Nashville, TN</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Tennessee</region></placeName><wicri:cityArea>Geriatric Research, Education and Clinical Center (GRECC) Service, Department of Veterans Affairs Medical Center, Tennessee Valley Healthcare System, Nashville</wicri:cityArea></affiliation><affiliation wicri:level="2"><nlm:aff id="A4">Center for Health Services Research, Vanderbilt University School of Medicine, Nashville, TN</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Tennessee</region></placeName><wicri:cityArea>Center for Health Services Research, Vanderbilt University School of Medicine, Nashville</wicri:cityArea></affiliation></author><author><name sortKey="Yoo, Erika J" sort="Yoo, Erika J" uniqKey="Yoo E" first="Erika J" last="Yoo">Erika J. Yoo</name><affiliation wicri:level="2"><nlm:aff id="A5">Division of Pulmonary, Critical Care, and Sleep Medicine, Drexel University College of Medicine, Philadelphia, PA</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Pennsylvanie</region></placeName><wicri:cityArea>Division of Pulmonary, Critical Care, and Sleep Medicine, Drexel University College of Medicine, Philadelphia</wicri:cityArea></affiliation></author><author><name sortKey="Houtrow, Amy J" sort="Houtrow, Amy J" uniqKey="Houtrow A" first="Amy J" last="Houtrow">Amy J. Houtrow</name><affiliation wicri:level="2"><nlm:aff id="A6">Department of Physical Medicine and Rehabilitation, University of Pittsburgh, PA</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Pennsylvanie</region></placeName><wicri:cityArea>Department of Physical Medicine and Rehabilitation, University of Pittsburgh</wicri:cityArea></affiliation></author><author><name sortKey="Boscardin, W John" sort="Boscardin, W John" uniqKey="Boscardin W" first="W John" last="Boscardin">W John Boscardin</name><affiliation wicri:level="3"><nlm:aff id="A7">Department of Epidemiology & Biostatistics, University of California, San Francisco</nlm:aff><country>États-Unis</country><placeName><settlement type="city">San Francisco</settlement><region type="state">Californie</region></placeName><wicri:orgArea>Department of Epidemiology & Biostatistics, University of California</wicri:orgArea></affiliation><affiliation wicri:level="3"><nlm:aff id="A8">Department of Medicine, University of California, San Francisco</nlm:aff><country>États-Unis</country><placeName><settlement type="city">San Francisco</settlement><region type="state">Californie</region></placeName><wicri:orgArea>Department of Medicine, University of California</wicri:orgArea></affiliation></author><author><name sortKey="Dudley, R Adams" sort="Dudley, R Adams" uniqKey="Dudley R" first="R Adams" last="Dudley">R Adams Dudley</name><affiliation wicri:level="3"><nlm:aff id="A9">Division of Pulmonary and Critical Care, Department of Medicine, University of California, San Francisco</nlm:aff><country>États-Unis</country><placeName><settlement type="city">San Francisco</settlement><region type="state">Californie</region></placeName><wicri:orgArea>Division of Pulmonary and Critical Care, Department of Medicine, University of California</wicri:orgArea></affiliation><affiliation wicri:level="3"><nlm:aff id="A10">Philip R. Lee Institute for Health Policy Studies, University of California, San Francisco</nlm:aff><country>États-Unis</country><placeName><settlement type="city">San Francisco</settlement><region type="state">Californie</region></placeName><wicri:orgArea>Philip R. Lee Institute for Health Policy Studies, University of California</wicri:orgArea></affiliation></author><author><name sortKey="Okumura, Megumi J" sort="Okumura, Megumi J" uniqKey="Okumura M" first="Megumi J" last="Okumura">Megumi J. Okumura</name><affiliation wicri:level="3"><nlm:aff id="A10">Philip R. Lee Institute for Health Policy Studies, University of California, San Francisco</nlm:aff><country>États-Unis</country><placeName><settlement type="city">San Francisco</settlement><region type="state">Californie</region></placeName><wicri:orgArea>Philip R. Lee Institute for Health Policy Studies, University of California</wicri:orgArea></affiliation><affiliation wicri:level="3"><nlm:aff id="A11">Division of General Pediatrics, Department of Pediatrics, University of California, San Francisco</nlm:aff><country>États-Unis</country><placeName><settlement type="city">San Francisco</settlement><region type="state">Californie</region></placeName><wicri:orgArea>Division of General Pediatrics, Department of Pediatrics, University of California</wicri:orgArea></affiliation><affiliation wicri:level="3"><nlm:aff id="A12">Division of General Internal Medicine, Department of Medicine, University of California, San Francisco</nlm:aff><country>États-Unis</country><placeName><settlement type="city">San Francisco</settlement><region type="state">Californie</region></placeName><wicri:orgArea>Division of General Internal Medicine, Department of Medicine, University of California</wicri:orgArea></affiliation></author></analytic><series><title level="j">Journal of critical care</title><idno type="ISSN">0883-9441</idno><idno type="eISSN">1557-8615</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Age Factors</term><term>Age of Onset</term><term>Chronic Disease (epidemiology)</term><term>Chronic Disease (mortality)</term><term>Chronic Disease (therapy)</term><term>Critical Care</term><term>Cross-Sectional Studies</term><term>Databases, Factual (statistics & numerical data)</term><term>Female</term><term>Hospital Bed Capacity (statistics & numerical data)</term><term>Hospitalization (statistics & numerical data)</term><term>Humans</term><term>Intensive Care Units (utilization)</term><term>Intensive Care Units, Pediatric (utilization)</term><term>Length of Stay</term><term>Male</term><term>Patient Discharge (statistics & numerical data)</term><term>Retrospective Studies</term><term>Transition to Adult Care</term><term>Wounds and Injuries (epidemiology)</term><term>Young Adult</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Bases de données factuelles ()</term><term>Capacité hospitalière ()</term><term>Durée du séjour</term><term>Facteurs de l'âge</term><term>Femelle</term><term>Hospitalisation ()</term><term>Humains</term><term>Jeune adulte</term><term>Maladie chronique ()</term><term>Maladie chronique (mortalité)</term><term>Maladie chronique (épidémiologie)</term><term>Mâle</term><term>Plaies et blessures (épidémiologie)</term><term>Soins de réanimation</term><term>Sortie du patient ()</term><term>Transition aux soins pour adultes</term><term>Unités de soins intensifs (utilisation)</term><term>Unités de soins intensifs pédiatriques (utilisation)</term><term>Âge de début</term><term>Études rétrospectives</term><term>Études transversales</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Chronic Disease</term><term>Wounds and Injuries</term></keywords><keywords scheme="MESH" qualifier="mortality" xml:lang="en"><term>Chronic Disease</term></keywords><keywords scheme="MESH" qualifier="mortalité" xml:lang="fr"><term>Maladie chronique</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Databases, Factual</term><term>Hospital Bed Capacity</term><term>Hospitalization</term><term>Patient Discharge</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Chronic Disease</term></keywords><keywords scheme="MESH" qualifier="utilisation" xml:lang="fr"><term>Unités de soins intensifs</term><term>Unités de soins intensifs pédiatriques</term></keywords><keywords scheme="MESH" qualifier="utilization" xml:lang="en"><term>Intensive Care Units</term><term>Intensive Care Units, Pediatric</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Maladie chronique</term><term>Plaies et blessures</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Age Factors</term><term>Age of Onset</term><term>Critical Care</term><term>Cross-Sectional Studies</term><term>Female</term><term>Humans</term><term>Length of Stay</term><term>Male</term><term>Retrospective Studies</term><term>Transition to Adult Care</term><term>Young Adult</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Bases de données factuelles</term><term>Capacité hospitalière</term><term>Durée du séjour</term><term>Facteurs de l'âge</term><term>Femelle</term><term>Hospitalisation</term><term>Humains</term><term>Jeune adulte</term><term>Maladie chronique</term><term>Mâle</term><term>Soins de réanimation</term><term>Sortie du patient</term><term>Transition aux soins pour adultes</term><term>Âge de début</term><term>Études rétrospectives</term><term>Études transversales</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="S1"><title>Purpose</title><p id="P2">To compare demographics, intensive care units (ICU) admission characteristics, and ICU outcomes among adults with childhood-onset chronic conditions (COCC) admitted to U.S. pediatric and adult ICUs.</p></sec><sec id="S2"><title>Materials and Methods</title><p id="P3">Retrospective cross-sectional analyses of 6,088 adults aged 19–40 years admitted in 2008 to 70 pediatric ICUs that participated in the Virtual Pediatric Intensive Care Unit Performance Systems and 50 adult ICUs that participated in Project IMPACT.</p></sec><sec id="S3"><title>Results</title><p id="P4">COCC were present in 53% of young adults admitted to pediatric units, compared to 9% of those in adult units. The most common COCC in both groups were congenital cardiac abnormalities, cerebral palsy, and chromosomal abnormalities. Adults with COCC admitted to pediatric units were significantly more likely to be younger, have lower functional status, and be non-trauma patients than those in adult units. The median ICU length-of-stay was 2 days and the intensive care unit mortality rate was 5% for all COCC patients with no statistical difference between pediatric or adult units.</p></sec><sec id="S4"><title>Conclusions</title><p id="P5">There are marked differences in characteristics between young adults with COCC admitted to PICUs and adult ICUs. Barriers to accommodating these young adults may be reasons why many such adults have not transitioned from pediatric to adult critical care.</p></sec></div></front></TEI><affiliations><list><country><li>États-Unis</li></country><region><li>Californie</li><li>Pennsylvanie</li><li>Tennessee</li><li>État de New York</li></region><settlement><li>San Francisco</li></settlement></list><tree><country name="États-Unis"><region name="État de New York"><name sortKey="Edwards, Jeffrey D" sort="Edwards, Jeffrey D" uniqKey="Edwards J" first="Jeffrey D" last="Edwards">Jeffrey D. Edwards</name></region><name sortKey="Boscardin, W John" sort="Boscardin, W John" uniqKey="Boscardin W" first="W John" last="Boscardin">W John Boscardin</name><name sortKey="Boscardin, W John" sort="Boscardin, W John" uniqKey="Boscardin W" first="W John" last="Boscardin">W John Boscardin</name><name sortKey="Dudley, R Adams" sort="Dudley, R Adams" uniqKey="Dudley R" first="R Adams" last="Dudley">R Adams Dudley</name><name sortKey="Dudley, R Adams" sort="Dudley, R Adams" uniqKey="Dudley R" first="R Adams" last="Dudley">R Adams Dudley</name><name sortKey="Houtrow, Amy J" sort="Houtrow, Amy J" uniqKey="Houtrow A" first="Amy J" last="Houtrow">Amy J. Houtrow</name><name sortKey="Okumura, Megumi J" sort="Okumura, Megumi J" uniqKey="Okumura M" first="Megumi J" last="Okumura">Megumi J. Okumura</name><name sortKey="Okumura, Megumi J" sort="Okumura, Megumi J" uniqKey="Okumura M" first="Megumi J" last="Okumura">Megumi J. Okumura</name><name sortKey="Okumura, Megumi J" sort="Okumura, Megumi J" uniqKey="Okumura M" first="Megumi J" last="Okumura">Megumi J. Okumura</name><name sortKey="Vasilevskis, Eduard E" sort="Vasilevskis, Eduard E" uniqKey="Vasilevskis E" first="Eduard E" last="Vasilevskis">Eduard E. Vasilevskis</name><name sortKey="Vasilevskis, Eduard E" sort="Vasilevskis, Eduard E" uniqKey="Vasilevskis E" first="Eduard E" last="Vasilevskis">Eduard E. Vasilevskis</name><name sortKey="Vasilevskis, Eduard E" sort="Vasilevskis, Eduard E" uniqKey="Vasilevskis E" first="Eduard E" last="Vasilevskis">Eduard E. Vasilevskis</name><name sortKey="Yoo, Erika J" sort="Yoo, Erika J" uniqKey="Yoo E" first="Erika J" last="Yoo">Erika J. Yoo</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Amérique/explor/PittsburghV1/Data/Main/Exploration
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 004042 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd -nk 004042 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien
|wiki= Wicri/Amérique
|area= PittsburghV1
|flux= Main
|étape= Exploration
|type= RBID
|clé= PMC:4268241
|texte= Adults with childhood-onset chronic conditions admitted to U.S. pediatric and adult intensive care units
}}
Pour générer des pages wiki
HfdIndexSelect -h $EXPLOR_AREA/Data/Main/Exploration/RBID.i -Sk "pubmed:25466316" \
| HfdSelect -Kh $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd \
| NlmPubMed2Wicri -a PittsburghV1
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