ArticlePediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies2018
PICU Length of Stay: Factors Associated With Bed Utilization and Development of a Benchmarking Model.
Article in Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 1 of them a synthesis that pooled it.
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Who cites it
35 citing papers in PubMed, 1 synthesis or guideline pooled it, 65 citations in OpenAlex.
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- Feasibility of a German High-Frequency Neonatal and Pediatric Intensive Care Dataset (AIx-Neo-Guard Dataset): Secondary Data Cohort Study.JMIR pediatrics and parenting · 2026Article
- Characteristics and outcomes of paediatric intensive care unit admissions across Kuwait: multicentre national-level cohort study.BMJ open · 2026Article
- Early Gut Microbiome-Short-Chain Fatty Acid Axis Disruption May Be Associated with Delayed Recovery in Critically Ill Children.Nutrients · 2026Observational
- Care Pathway and Outcomes in Pediatric Septic Shock: A Narrative Review from Emergency Department Recognition to PICU Management.Children (Basel, Switzerland) · 2026Review
- Clinical features of pediatric patients with prolonged Pediatric Intensive Care Unit stay.Revista medica del Instituto Mexicano del Seguro Social · 2026Article
- A comparative study of neuro-fuzzy and neural network models in predicting length of stay in university hospital.BMC health services research · 2025Article
- Glycemic variability and its association with short and long term clinical outcomes in critically ill patients with cerebral hemorrhage.Scientific reports · 2025Article
- An In-Depth Look at Nutrition Support and Adequacy for Critically Ill Children with Organ Dysfunction.Children (Basel, Switzerland) · 2024Article
- Racial and skin color mediated disparities in pulse oximetry in infants and young children.Paediatric respiratory reviews · 2024Review
- A Snapshot of Chronic Critical Illness in Pediatric Intensive Care Units.Journal of pediatric intensive care · 2024Article
- Outcome of Noninvasive Respiratory Support in Pediatric High-Dependency Units for Acute Respiratory Distress.Respiratory care · 2023Article
- Article
- Comparison of clinical characteristics and healthcare resource use of pediatric chronic and non-chronic critically ill patients in intensive care units: a retrospective national registry study.Frontiers in pediatrics · 2023Article
- Assessing the health literacy of caregivers in the pediatric intensive care unit: a mixed-methods study.Frontiers in pediatrics · 2023Article
- Article
- Relationship between pediatric intensive care unit length of stay and 24-h unplanned readmission rate.Health services research · 2022Article
- Is this as good as it gets? Implications of an asymptotic mortality decline and approaching the nadir in pediatric intensive care.European journal of pediatrics · 2022Review
Corrections and comments
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Authors and funding
15 authors at 7 institutions in 1 country.
Funding
Abstract
objectivesICU length of stay is an important measure of resource use and economic performance. Our primary aims were to characterize the utilization of PICU beds and to develop a new model for PICU length of stay.
designProspective cohort. The main outcomes were factors associated with PICU length of stay and the performance of a regression model for length of stay.
settingEight PICUs. PATIENTS: Randomly selected patients (newborn to 18 yr) from eight PICUs were enrolled from December 4, 2011, to April 7, 2013. Data consisted of descriptive, diagnostic, physiologic, and therapeutic information.
interventionsNone. MEASUREMENTS AND MAIN
resultsThe mean length of stay for was 5.0 days (SD, 11.1), with a median of 2.0 days. The 50.6% of patients with length of stay less than 2 days consumed only 11.1% of the days of care, whereas the 19.6% of patients with length of stay 4.9-19 days and the 4.6% with length of stay greater than or equal to 19 days consumed 35.7% and 37.6% of the days of care, respectively. Longer length of stay was observed in younger children, those with cardiorespiratory disease, postintervention cardiac patients, and those who were sicker assessed by Pediatric Risk of Mortality scores receiving more intensive therapies. Patients in the cardiac ICU stayed longer than those in the medical ICU. The length of stay model using descriptive, diagnostic, severity, and therapeutic factors performed well (patient-level R-squared of 0.42 and institution-level R-squared of 0.76). Standardized (observed divided by expected) length of stay ratios at the individual sites ranged from 0.87 to 1.09.
conclusionsPICU bed utilization was dominated by a minority of patients. The 5% of patients staying the longest used almost 40% of the bed days. The multivariate length of stay model used descriptive, diagnostic, therapeutic, and severity factors and has potential applicability for internal and external benchmarking.
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