Evidence map›Paper›PMID 37620856›Full record

ArticleBMC pediatrics2023

Impact of prematurity on long-stay paediatric intensive care unit admissions in England 2008-2018.

Tim J van Hasselt, Hari Krishnan Kanthimathinathan, Trishul Kothari, Adrian Plunkett, Chris Gale, Elizabeth S Draper, Sarah E Seaton

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC pediatrics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.8field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 7 citations in OpenAlex.

  1. Observational
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Tim J van HasseltDepartment of Population Health Sciences, University of Leicester, Leicester, LE1 7RH, UK, University Rd. t.vanhasselt@nhs.net.
Hari Krishnan KanthimathinathanPaediatric Intensive Care Unit, Birmingham Women's and Children's NHS Foundation Trust, Birmingham, UK.
Trishul KothariBirmingham Women's and Children's NHS Foundation Trust, Birmingham, UK.
Adrian PlunkettPaediatric Intensive Care Unit, Birmingham Women's and Children's NHS Foundation Trust, Birmingham, UK.
Chris GaleSchool of Public Health, Faculty of Medicine, Neonatal Medicine, Imperial College London, London, UK.
Elizabeth S DraperDepartment of Population Health Sciences, University of Leicester, Leicester, LE1 7RH, UK, University Rd.
Sarah E SeatonDepartment of Population Health Sciences, University of Leicester, Leicester, LE1 7RH, UK, University Rd.
Birmingham Women’s and Children’s NHS Foundation Trust · GBUniversity of Leicester · GBImperial College London · GB

Funding

Department of Health NIHR300579Department of Health NIHR301761Medical Research Council MR/V036866/1
6 · The paper itself

Abstract

backgroundSurvival following extreme preterm birth has improved, potentially increasing the number of children with ongoing morbidity requiring intensive care in childhood. Previous single-centre studies have suggested that long-stay admissions in paediatric intensive care units (PICUs) are increasing. We aimed to examine trends in long-stay admissions (≥28 days) to PICUs in England, outcomes for this group (including mortality and PICU readmission), and to determine the contribution of preterm-born children to the long-stay population, in children aged <2 years.

methodsData was obtained from the Paediatric Intensive Care Audit Network (PICANet) for all children <2 years admitted to National Health Service PICUs from 1/1/2008 to 31/12/2018 in England. We performed descriptive analysis of child characteristics and PICU outcomes.

resultsThere were 99,057 admissions from 67,615 children. 2,693 children (4.0%) had 3,127 long-stays. Between 2008 and 2018 the annual number of long-stay admissions increased from 225 (2.7%) to 355 (4.0%), and the proportion of bed days in PICUs occupied by long-stay admissions increased from 24.2% to 33.2%. Of children with long-stays, 33.5% were born preterm, 53.5% were born at term, and 13.1% had missing data for gestational age. A considerable proportion of long-stay children required PICU readmission before two years of age (76.3% for preterm-born children). Observed mortality during any admission was also disproportionately greater for long-stay children (26.5% for term-born, 24.8% for preterm-born) than the overall rate (6.3%).

conclusionsLong-stays accounted for an increasing proportion of PICU activity in England between 2008 and 2018. Children born preterm were over-represented in the long-stay population compared to the national preterm birth rate (8%). These results have significant implications for future research into paediatric morbidity, and for planning future PICU service provision.

Indexed as

Premature BirthChildChild, PreschoolEnglandFemaleGestational AgeHumansInfant, NewbornIntensive Care Units, PediatricState MedicineChronic diseaseNeonatalNeonatal intensive carePediatric intensive care unitsPrematurity

Identifiers

PMID37620856
PMCPMC10463455
OpenAlexW4386139133

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.