ArticleNursing in critical care2026
Predictors for Home Discharge and Need for Medical Care at Home in Paediatric ICU Patients: A Single-Centre Retrospective Study.
Article in Nursing in critical care, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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8 authors.
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Abstract
backgroundThe number of children with medical complexity at home has been increasing. To facilitate a smooth transition to home care for these children after discharge from the intensive care unit (ICU), early nursing interventions and family training are essential.
aimThis study examined factors that predict home discharge and the need for medical care at home using routine clinical information at the time of ICU admission. STUDY
designThis study included paediatric patients under the age of 16 who were admitted to the ICU. Clinical data were extracted from medical records. Univariate and multivariate analyses were conducted using logistic regression to identify relevant factors. Receiver operating characteristic (ROC) analysis was performed to determine the cut-off values.
resultsOne hundred and thirty-one patients were included, of whom 82 patients were discharged home. Multivariate analysis using logistic regression identified the following independent predictors of home discharge: postoperative admission (p = 0.024), lower heart rate at admission (p = 0.016), absence of cardiopulmonary arrest immediately before ICU admission (CPA) (p = 0.012) and no mechanical ventilation within the first hour of ICU admission (p = 0.044). ROC analysis for heart rate at admission yielded a cut-off value of 131 bpm (p = 0.039). A total of 62 patients did not require home medical care. Univariate logistic regression analysis identified length of ICU stay as a significant factor associated with the need for home medical care (p = 0.045).
conclusionsIn paediatric ICU patients, postoperative admission, lower heart rate at admission, absence of pre-admission CPA and no mechanical ventilation predicted successful home discharge. The need for home medical care was significantly associated with length of ICU stay. RELEVANCE TO CLINICAL PRACTICE: Early and appropriate nursing interventions can be considered for paediatric ICU patients and their families, leading to the provision of high-quality nursing care.
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