Abstract

The present study aims to compare the diagnostic categories and outcomes for teenagers admitted to the paediatric ICU (PICU) and the adult ICU over a 3-year period. The UK Paediatric Intensive Care society has agreed consensus standards for the care of critically ill patients up to the age of 16 years [1]. The UK National Service Framework for Children defines a child as 'all those under 19 years' [2]. To date, there are no specific national standards addressing the care of teenagers on intensive care.

Highlights

  • There is considerable uncertainty about the reproducibility of the various instruments used to measure dyspnea, their ability to reflect changes in symptoms, whether they accurately reflect the patient’s experience and if its evolution is similar between acute heart failure syndrome patients and nonacute heart failure syndrome patients

  • First analyses demonstrated a significant reduction in the incidence of systemic inflammatory response syndrome (SIRS) for the interventional group

  • Results of this study show that early tracheostomy, if perioperative complications

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Summary

Introduction

There is considerable uncertainty about the reproducibility of the various instruments used to measure dyspnea, their ability to reflect changes in symptoms, whether they accurately reflect the patient’s experience and if its evolution is similar between acute heart failure syndrome patients and nonacute heart failure syndrome patients. Conclusions Our data demonstrate that critically ill patients may be exposed to a higher FiO2 than that required to maintain adequate oxygenation These results highlight an area of ICU care that has received little study, with no published clinical trials examining the effect of FiO2 on outcome. Results Age, sex, the underlying disease and tumour stage (TNM classification), type of previous anticancer treatment, performance status, severity scores (APACHE II, Simplified Acute Physiology Score II, Sequential Organ Failure Assessment), ICU and hospital mortalities and hospital outcome at 3, 6 and 12 months were analysed. Clinical data of 277 post-transplantation patients admitted to the ICU were collected at admission and the SAPS 3 and APACHE II score calculated with respective estimated mortality rates.

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