Evidence map›Paper›PMID 41774500›Full record

ArticleRevista medica del Instituto Mexicano del Seguro Social2026

Clinical features of pediatric patients with prolonged Pediatric Intensive Care Unit stay.

Crisaixela Moya-Sánchez, Isabel Znaya Ramírez-Flores, Maria E Salazar-Rios, Maribel Ibarra-Sarlat

Abstract read
In one paragraph

Article in Revista medica del Instituto Mexicano del Seguro Social, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

4 authors.

Crisaixela Moya-SánchezInstituto Mexicano del Seguro Social, Centro Médico Nacional Siglo XXI, Hospital de Pediatría "Dr. Silvestre Frenk Freund", Departamento de Pediatría. Ciudad de México, México.ORCID 0009-0008-2812-962X
Isabel Znaya Ramírez-FloresInstituto Mexicano del Seguro Social, Centro Médico Nacional Siglo XXI, Hospital de Pediatría "Dr. Silvestre Frenk Freund", Unidad de Terapia Intensiva Pediátrica. Ciudad de México, México.ORCID 0009-0005-6604-8626
Maria E Salazar-RiosInstituto Mexicano del Seguro Social, Centro Médico Nacional Siglo XXI, Hospital de Pediatría "Dr. Silvestre Frenk Freund", Departamento de Pediatría. Ciudad de México, México.ORCID 0000-0001-9899-9526
Maribel Ibarra-SarlatInstituto Mexicano del Seguro Social, Centro Médico Nacional Siglo XXI, Hospital de Pediatría "Dr. Silvestre Frenk Freund", Unidad de Terapia Intensiva Pediátrica. Ciudad de México, México.ORCID 0009-0001-4920-8836

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Patients with prolonged length of stay (PLOS) in Pediatric Intensive Care Units (PICU) pose clinical and economic challenges. In Mexico, data is limited. Objectives: To identify the clinical profile and main risk factors of children with prolonged PICU stays. Materials and methods: A retrospective cohort study of critically ill children was done. PLOS was defined as a stay longer than 14 days. PLOS frequency and patient mortality were described. Clinical profiles of patients with and without PLOS were compared and a logistic regression identified key predictors. Results: Among patients, 12.2% had PLOS, utilizing 47% of the total bed-days PICU occupancy. Mortality was 8.1% overall and 15.7% among PLOS cases. Children with PLOS significantly differed from those without in terms of illness severity, comorbidities, infections, nutrition strategies, need and duration of organ support, and mortality. Logistic regression identified mechanical ventilation (OR = 2.37) and renal/hepatic replacement therapy (OR = 44.68) as independent predictors of PLOS. Conclusions: Despite their small proportion, PLOS patients significantly impact PICU resources. Early identification and targeted care strategies are essential to improve outcomes and resource use.

Indexed as

Critical IllnessIntensive Care Units, PediatricLength of StayAdolescentChildChild, PreschoolFemaleHumansInfantLogistic ModelsMaleMexicoRetrospective StudiesRisk FactorsHospitalizaciónHospitalizationIntensive Care UnitsPediatríaPediatricsUnidad de Cuidados Intensivos

Identifiers

PMID41774500
PMCPMC12974959

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.