ArticleIntensive care medicine2013
Characteristics and outcome of children admitted to adult intensive care units in England, Wales and Northern Ireland (1996-2011).
Article in Intensive care medicine, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- Paediatric Index of Mortality 3 in Sweden: Validation and Recalibration to Improve Mortality Prediction in Paediatric Intensive Care.Acta paediatrica (Oslo, Norway : 1992) · 2026Article
- Optimising Paediatric Transition to Intensive Care for Adults (OPTICAL): study protocol for a mixed method study.BMJ open · 2025Article
- Asthma in paediatric intensive care in England residents: observational study.Scientific reports · 2022Observational
- Does time taken by paediatric critical care transport teams to reach the bedside of critically ill children affect survival? A retrospective cohort study from England and Wales.BMC pediatrics · 2020Article
- Characteristics of adolescents requiring intensive care in the United Kingdom: A retrospective cohort study.Journal of the Intensive Care Society · 2018Article
- The intensive care medicine clinical research agenda in paediatrics.Intensive care medicine · 2017Review
- Year in review in Intensive Care Medicine 2013: III. Sepsis, infections, respiratory diseases, pediatrics.Intensive care medicine · 2014Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeDespite centralisation of paediatric intensive care units (PICU) in the UK, children continue to be admitted to adult intensive care units (AICU). We aimed to analyse trends in the admission of children to AICUs over a 16-year period from 1996, and describe their case mix, outcome and resource use in a recent cohort (2009-2011).
methodsWe extracted data from consecutive admissions of children (1996-2011) to AICUs from the Intensive Care National Audit and Research Centre Case Mix Programme Database. We studied case mix, outcome and resource use as well as regional, seasonal and temporal variations in admissions of children to AICU.
resultsA total of 13,430 children were admitted to AICUs between 1996 and 2011 (representing 1.3% of all admissions). This proportion decreased from 2.8% in 1996 to 0.6% in 2011. Crude mortality fell from 6.7 to 2.8%, and the proportion transferred out to a PICU rose from 18.9 to 51.4%. In recent years (2009-2011), half of the 2,320 admissions of children occurred in just three English Strategic Health Authorities. The median length of unit stay was 7.7 h (IQR 3.8-19.7) for survivors and 11.5 h (IQR 5.0-36.2) for non-survivors.
conclusionsThe number of children admitted to AICUs in England, Wales and Northern Ireland has been steadily declining since 1996. In recent years, half of all children admitted to AICUs are transferred to PICU, usually following a short stay. The reasons for regional variation in paediatric admissions to AICUs, and the cause of death in the small number of children who die in AICUs, are unclear.
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