ArticleThe Journal of pediatrics2010
Children with chronic illness return to their baseline functional status after organ dysfunction on the first day of admission in the pediatric intensive care unit.
Article in The Journal of pediatrics, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed.
- Health Care Resource Use and Costs After Hospitalization With Multiple Organ Dysfunction in Children.JAMA network open · 2025Article
- Recurrent Intensive Care Episodes and Mortality Among Children With Severe Neurologic Impairment.JAMA network open · 2024Article
- Factors of well-being of youth with complex medical conditions from the experience of hospitalization and convalescence: A pilot study.PloS one · 2023Observational
- Outcomes of Day 1 Multiple Organ Dysfunction Syndrome in the PICU.Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies · 2019Observational
- Characteristics and Outcomes of Critical Illness in Children With Feeding and Respiratory Technology Dependence.Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies · 2019Article
- Causes of death in critically ill paediatric patients in Japan: a retrospective multicentre cohort study.BMJ paediatrics open · 2019Article
- Pediatric admissions that include intensive care: a population-based study.BMC health services research · 2018Article
- Epidemiology and Outcomes of Pediatric Multiple Organ Dysfunction Syndrome.Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies · 2017Review
- Epidemiology of Pediatric Critical Illness in a Population-Based Birth Cohort in Olmsted County, MN.Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies · 2017Article
- Health-related quality of life following pediatric critical illness.Intensive care medicine · 2015Review
- Pediatric cancer type predicts infection rate, need for critical care intervention, and mortality in the pediatric intensive care unit.Intensive care medicine · 2014Article
- Existing data analysis in pediatric critical care research.Frontiers in pediatrics · 2014Review
- Chronic conditions among children admitted to U.S. pediatric intensive care units: their prevalence and impact on risk for mortality and prolonged length of stay*.Critical care medicine · 2012Article
- Prevalence and functional status of children with complex chronic conditions in Brazilian PICUs during the COVID-19 pandemic.Jornal de pediatriaArticle
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
objectiveTo determine chronic illness outcomes after admission with multiple organ dysfunction syndrome (MODS) for patients in the pediatric intensive care unit (PICU). STUDY
designWe evaluated consecutive PICU admissions from 35 US children's hospitals from January 2004-December 2005 in the virtual PICU Performance System database. We excluded hospitals with >10% missing values for MODS variables and patients<1 month or>18 years of age. MODS was identified by laboratory and vital sign values from day of admission with International Pediatric Sepsis Consensus Conference criteria. Chronic illness was identified by secondary diagnoses, classified by modified Delphi method. We evaluated functional outcomes with pediatric overall performance category and pediatric cerebral performance category scores from PICU admission and discharge.
resultsOf 44 693 admissions, 52.1% had a chronic diagnosis. Chronic diagnoses increased MODS at PICU admission (24.6% vs 12.0%, P<.001) and mortality rates (3.7% vs 1.9%, P<.001). Patients with a chronic diagnosis had similar changes in pediatric overall performance category and pediatric cerebral performance category scores from PICU admission to discharge as previously healthy children. However, outcome in different chronic diagnosis categories was variable.
conclusionsChronic illness increased MODS incidence at PICU admission and impacted all-cause PICU mortality rates. Although, in aggregate, children who survive return to baseline functional status, this varies by chronic illness category.
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