ArticleJournal of critical care2017
Pediatric intermediate care and pediatric intensive care units: PICU metrics and an analysis of patients that use both.
Article in Journal of critical care, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
11 citing papers in PubMed.
- Integrating Paediatric Intermediate Care Units Into Tiered Care Systems: A Narrative Review and Italian Perspective.Acta paediatrica (Oslo, Norway : 1992) · 2026Review
- Optimizing Pediatric Intermediate Care: Clinical Predictors of Deterioration and Length of Stay in a Tertiary Setting.Journal of clinical medicine · 2025Article
- Patient Characteristics and Severity Trajectories in a Pediatric Intermediate Care Unit.Indian journal of pediatrics · 2025Observational
- Variation in Triage to Pediatric vs Adult ICUs Among Adolescents and Young Adults With Asthma Exacerbations.CHEST critical care · 2024Article
- Characteristics of Long-Stay Patients in a PICU and Healthcare Resource Utilization After Discharge.Critical care explorations · 2023Article
- "More life and more days"-patient and care characteristics in a specialized acute pediatric palliative care inpatient unit.European journal of pediatrics · 2023Article
- Organizing and Leading a Multidisciplinary PICU.Indian journal of pediatrics · 2023Review
- Risk factors for unplanned paediatric intensive care unit admission after anaesthesia-an international multicentre study.Paediatrics & child health · 2022Article
- Relationship between pediatric intensive care unit length of stay and 24-h unplanned readmission rate.Health services research · 2022Article
- The care of critically ill infants and toddlers in neonatal intensive care units across Italy and Europe: our proposal for healthcare organization.European journal of pediatrics · 2022Review
- ICU-free days as a more sensitive primary outcome for clinical trials in critically ill pediatric patients.Journal of the American College of Emergency Physicians open · 2021Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
purposeTo examine how intermediate care units (IMCUs) are used in relation to pediatric intensive care units (PICUs), characterize PICU patients that utilize IMCUs, and estimate the impact of IMCUs on PICU metrics. MATERIALS &
methodsRetrospective study of PICU patients discharged from 108 hospitals from 2009 to 2011. Patients admitted from or discharged to IMCUs were characterized. We explored the relationships between having an IMCU and several PICU metrics: physical length-of-stay (LOS), medical LOS, discharge wait time, admission severity of illness, unplanned PICU admissions from wards, and early PICU readmissions.
resultsThirty-three percent of sites had an IMCU. After adjusting for known confounders, there was no association between having an IMCU and PICU LOS, mean severity of illness of PICU patients admitted from general wards, or proportion of PICU readmissions or unplanned ward admissions. At sites with an IMCU, patients waited 3.1h longer for transfer from the PICU once medically cleared (p<0.001).
conclusionsThere was no association between having an IMCU and most measures of PICU efficiency. At hospitals with an IMCU, patients spent more time in the PICU once they were cleared for discharge. Other ways that IMCUs might affect PICU efficiency or particular patient populations should be investigated.
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Registered trials
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