Executive Summary: Criteria for Critical Care of Infants and Children: PICU Admission, Discharge, and Triage Practice Statement and Levels of Care Guidance.

Autor:	Hsu BS; Pediatric Critical Care, Sanford School of Medicine, University of South Dakota, Vermillion, South Dakota., Hill V; Hospital Medicine, Baylor College of Medicine and Children's Hospital of San Antonio, San Antonio, Texas., Frankel LR; Department of Pediatrics and Critical Care Services, California Pacific Medical Center, San Francisco, California., Yeh TS; Department of Pediatrics, Saint Barnabas Medical Center, Livingston, New Jersey., Simone S; PICU, Medical Center, University of Maryland, Baltimore, Maryland., Arca MJ; Divisions of Pediatric Surgery and., Coss-Bu JA; Pediatrics and Critical Care Medicine, Baylor College of Medicine and Texas Children's Hospital, Houston, Texas., Fallat ME; Division of Pediatric Surgery, University of Louisville and Norton Children's Hospital, Louisville, Kentucky., Foland J; Pediatric Intensive Care, Studer Family Children's Hospital, Ascension Sacred Heart, Pensacola, Florida., Gadepalli S; Division of Pediatric Surgery, University of Michigan, Ann Arbor, Michigan., Gayle MO; Pediatric Intensive Care, Wolfson Children's Hospital, Jacksonville, Florida., Harmon LA; Department of Quality, Society of Critical Care Medicine, Mount Prospect, Illinois., Joseph CA; Pediatric Intensive Care, Children's Hospital Oakland, Oakland, California., Kessel AD; Pediatric Critical Care Medicine, Cohen Children's Medical Center, New Hyde Park, New York., Kissoon N; Medical Affairs, British Columbia Children's Hospital, Vancouver, Canada., Moss M; Pediatric Critical Care Medicine, Arkansas Children's Hospital, Little Rock, Arkansas., Mysore MR; Pediatrics, Critical Care Medicine, College of Medicine, Medical Center, University of Nebraska, Omaha, Nebraska., Papo ME; PICU, Medical City Children's Hospital, Dallas, Texas., Rajzer-Wakeham KL; Pediatric Critical Care Medicine, Children's Hospital of Wisconsin, Wauwatosa, Wisconsin., Rice TB; Pediatric Critical Care Medicine., Rosenberg DL; Pediatrics and Pediatric Intensive Care, Grand Strand Medical Center, Myrtle Beach, South Carolina., Wakeham MK; Medical College of Wisconsin and Children's Hospital of Wisconsin, Milwaukee, Wisconsin.; Pediatric Critical Care Medicine., Conway EE Jr; Pediatrics and Pediatric Critical Care Medicine, Jacobi Medical Center, the Bronx, New York; and., Agus MSD; Division of Medical Critical Care, Boston Children's Hospital and Harvard Medical School, Harvard University, Boston, Massachusetts.
Jazyk:	angličtina
Zdroj:	Pediatrics [Pediatrics] 2019 Oct; Vol. 144 (4). Date of Electronic Publication: 2019 Sep 05.
DOI:	10.1542/peds.2019-2433
Abstrakt:	This is an executive summary of the 2019 update of the 2004 guidelines and levels of care for PICU. Since previous guidelines, there has been a tremendous transformation of Pediatric Critical Care Medicine with advancements in pediatric cardiovascular medicine, transplant, neurology, trauma, and oncology as well as improvements of care in general PICUs. This has led to the evolution of resources and training in the provision of care through the PICU. Outcome and quality research related to admission, transfer, and discharge criteria as well as literature regarding PICU levels of care to include volume, staffing, and structure were reviewed and included in this statement as appropriate. Consequently, the purposes of this significant update are to address the transformation of the field and codify a revised set of guidelines that will enable hospitals, institutions, and individuals in developing the appropriate PICU for their community needs. The target audiences of the practice statement and guidance are broad and include critical care professionals; pediatricians; pediatric subspecialists; pediatric surgeons; pediatric surgical subspecialists; pediatric imaging physicians; and other members of the patient care team such as nurses, therapists, dieticians, pharmacists, social workers, care coordinators, and hospital administrators who make daily administrative and clinical decisions in all PICU levels of care. Competing Interests: POTENTIAL CONFLICT OF INTEREST: The authors have indicated they have no potential conflicts of interest to disclose. (Copyright © 2019 by the American Academy of Pediatrics.)
Databáze:	MEDLINE
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