Long-stay pediatric intensive care unit patients: Outcome and resource utilization

M. M. Pollack, J. D. Wilkinson, N. L. Glass

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Abstract

Outcome, resource utilization, and health care characteristics of patients staying in a multidisciplinary pediatric intensive care unit (PICU) for more than 13 days (long-stay patients) were analyzed. Of 647 children admitted consecutively, 46 were long-stay patients. Compared with short-stay patients, long-stay patients were significantly younger and sicker and had a higher incidence of chronic disease. Most important, long-stay patients had significantly higher PICU mortality rates (17.4% v 7.3%, P < .05) and hospital mortality rates 23.9% v 8.7%, P < .01) than short-stay PICU patients. Although only 7.1% of the patient sample, long-stay patients consumed approximately 50% of all PICU resources. One-year follow-up on those long-stay patients surviving their hospitalization revealed that 58% had died or were severely disabled. Long-stay patients had relatively poor prognoses and consumed health care resources in excess of their numeric proportions.

Original languageEnglish
Pages (from-to)855-860
Number of pages6
JournalPediatrics
Volume80
Issue number6
StatePublished - Dec 1 1987

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ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

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Pollack, M. M., Wilkinson, J. D., & Glass, N. L. (1987). Long-stay pediatric intensive care unit patients: Outcome and resource utilization. Pediatrics, 80(6), 855-860.