Abstract P-345: OUTCOME IN PEDIATRIC INTENSIVE CARE IN EASTERN DENMARK

Abstract

Aims & Objectives: Intensive care of infants and children in eastern Denmark (approximately 2.5 million inhabitants) is centralized at Rigshospitalet, University Hospital Copenhagen. The children and infants are admitted to four separate intensive care units: Infants above 28 days of age and below 1 year to the Neonatal Intensive Care Unit (NICU), above 1 year to the Multidisciplinary Intensive Care Unit (MICU), children with neurosurgical diseases to the Neurosurgical Intensive Care Unit (NNICU) and children with heart diseases to the Cardiac Intensive Care Unit (CICU). MICU, NNICU and CICU also care for adult intensive care patients. The aim of this paper is to present the organization and outcome of the intensive care of children in eastern Denmark, excluding CICU admissions. Methods We included data from all admissions to NICU, MICU and NNICU from 01.01.2012-31.12.2015 Data were registered prospectively. Mortality was evaluated using the Pediatric Index of Mortality 2 score (PIM2). Results There were 1.082 admissions during the study period, 697 to NICU, 263 to MICU and 122 to NNICU. 501 (46,3%) infants received mechanical ventilation. PIM2 score (median(IQR)) at NICU was 0.00(0.00–0.02), at MICU 0.06(0.02–0.19) and at NNICU 0.03(0.01–0.09). Mortality was 4,02%, 5,32% and 9,02% respectively. Conclusions In eastern Denmark the organization of pediatric intensive care is different from many other countries as children are admitted to different units in institutions also caring for either adult or neonatal patients. This may influence outcome. Future plans are to admit all infants and children needing intensive care to one multidisciplinary pediatric intensive care unit.