Pediatr Crit Care Me
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Pediatr Crit Care Me · Feb 2016
Multicenter StudyPediatric Intensive Care in PICUs and Adult ICUs: A 2-Year Cohort Study in Finland.
To investigate the association between the type of ICU and mortality for children treated at PICUs and adult ICUs. ⋯ Pediatric patients treated at PICUs showed lower mortality. Requirement of mechanical ventilation, emergency admission, and readmission less than 48 hours after discharge and cardiovascular, gastrointestinal, acute infections, hematologic/oncologic disease, and nonsurgical trauma were associated with higher risk of mortality.
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Pediatr Crit Care Me · Feb 2016
Randomized Controlled TrialHigh-Dose Magnesium Sulfate Infusion for Severe Asthma in the Emergency Department: Efficacy Study.
To assess the efficacy of a high-dose prolonged magnesium sulfate infusion in patients with severe, noninfectious-mediated asthma. ⋯ The early utilization of high-dose prolonged magnesium sulfate infusion (50 mg/kg/hr/4 hr), for non-infectious mediated asthma, expedites discharges from the emergency department with significant reduction in healthcare cost.
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Pediatr Crit Care Me · Feb 2016
Serum Albumin Is an Independent Predictor of Clinical Outcomes in Critically Ill Children.
Serum albumin is a strong biomarker of disease severity and prognosis in adult patients. In contrast, its value as predictor of outcome in critically ill children has not been established. We aimed to determine whether admission hypoalbuminemia is associated with outcome in a general pediatric population of critically ill patients, taking into account the inflammatory response, disease severity, and nutritional status of the patient. ⋯ Hypoalbuminemia at admission to a PICU is associated with higher 60-day mortality, longer duration of mechanical ventilation, and lower probability of ICU discharge. These associations are independent of the magnitude of inflammatory response, clinical severity, and nutritional status.