Journal of critical care
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Journal of critical care · Jul 2015
Pediatric Early Warning Score and unplanned readmission to the pediatric intensive care unit.
Early unplanned Pediatric Intensive Care Unit (PICU) readmission is associated with greater length of stay and mortality. No tools exist to identify children at risk for PICU readmission. The Pediatric Early Warning Score (PEWS) currently identify children at risk for deterioration on the ward. Our primary objective was to evaluate the ability of PEWS to identify children at risk for unplanned PICU readmission. ⋯ Higher PEWS scores were associated with increased risk of unplanned PICU readmission. However, cutoff scores are not sensitive or specific enough to be clinically useful. Adding chronic disease variables may improve the clinical utility of cutoff PEWS scores.
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Journal of critical care · Jul 2015
Gender association with postoperative hemorrhage patient safety indicator in the United States from 2000 to 2012.
Postoperative hemorrhage and hematoma (PHH) is a patient safety indicator (PSI) representing a universal complication for all surgical procedures. This study examined the association between gender and the rates of PHH from 2000 to 2012. ⋯ Contrary to our results, the current literature on PHH largely identifies females as the gender with the greater risk of PHH. Specific to our study, our definition of PHH excludes pregnancy, childbirth, and puerperium patients. This finding suggests that pregnancy-related bleeding complications have influenced the current literature and males are the higher risk gender for PHH in nonobstetric procedures.