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Effects of the presence of a pediatric intensivist on treatment in the pediatric intensive care unit

机译：儿科强度在儿科重症监护单元治疗中存在的影响

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BACKGROUND:There are few studies on the effect of intensivist staffing in pediatric intensive care units (PICUs) in Korea. We aimed to evaluate the effect of pediatric intensivist staffing on treatment outcomes in a Korean hospital PICU.METHODS:We analyzed two time periods according to pediatric intensivist staffing: period 1, between November 2015 to January 2017 (no intensivist staffing, n=97) and period 2, between February 2017 to February 2018 (intensivists staffing, n=135).RESULTS:Median age at admission was 5.4 years (range, 0.7-10.3 years) in period 1 and 3.6 years (0.2-5.1 years) in period 2 (P=0.013). The bed occupancy rate decreased in period 2 (75%; 73%-88%) compared to period 1 (89%; 81%-94%; P=0.015). However, the monthly bed turnover rate increased in period 2 (2.2%; 1.9%-2.7%) compared to period 1 (1.5%, 1.1%- 1.7%; P=0.005). In both periods, patients with chronic neurologic illness were the most common. Patients with cardiovascular problems were more prevalent in period 2 than period 1 (P=0.008). Daytime admission occurred more frequently in period 2 than period 1 (63% vs. 39%, P0.001). The length of PICU stay, parameters related with mechanical ventilation and tracheostomy, and pediatric Sequential Organ Failure Assessment score were not different between periods. Sudden cardiopulmonary resuscitations occurred in two cases during period 1, but no case occurred during period 2.CONCLUSIONS:Pediatric intensivist staffing in the PICU may affect efficient ICU operations.
机译：背景：韩国儿科重症监护单位（PICUS）对小儿重症监护单位（PICU）的效果几乎没有研究。我们旨在评估儿科强度人员对韩国医院PICU治疗结果的影响。方法：我们根据儿科强度的人员分析了两次的时间：2015年11月至2017年1月期间（没有强大的人员，N = 97）和第2期，2017年2月至2018年2月（强大人员人员，N = 135）。结果：期间中位数为5.4岁（范围，0.7-10.3岁）期间（0.2-5.1岁） 2（p = 0.013）。与第1期相比，床占用率在2期（75％; 73％-88％）下降（89％; 81％-94％; P = 0.015）。然而，每月床位率在2期（2.2％; 1.9％-2.7％）上增加（1.9％-2.7％）（1.5％，1.1％ - 1.7％; P = 0.005）。在这两个时期，慢性神经系统疾病的患者最常见。心血管问题的患者在2时期的时间内更普遍（p = 0.008）。白天入学时间在2周期内更频繁地发生（63％对39％，P <0.001）。 PICU保持的长度，与机械通气和气管造口术相关的参数，以及儿科顺序器官失效评估得分在时期之间没有差异。突然的心肺复苏在两种情况下发生在2例期间，但期间没有发生任何情况。结论：PICU中的儿科强度人员体现可能会影响有效的ICU操作。

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