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The 2022-2023 Pediatric Respiratory Illness Surge: Survey of Acute and Critical Care Resource Use.
Christner, Lilia P; Carlton, Erin F; Gorga, Stephen; Whittington, Taylor; Odetola, Folafoluwa O.
Afiliación
  • Christner LP; University of Michigan Medical School, Ann Arbor, MI, USA.
  • Carlton EF; University of Michigan Medical School, Ann Arbor, MI, USA.
  • Gorga S; Department of Pediatrics, Division of Pediatric Critical Care Medicine, University of Michigan Health System, Ann Arbor, MI, USA.
  • Whittington T; Susan B. Meister Child Health Evaluation and Research Center, University of Michigan Health System, Ann Arbor, MI, USA.
  • Odetola FO; University of Michigan Medical School, Ann Arbor, MI, USA.
Disaster Med Public Health Prep ; 18: e127, 2024 Sep 18.
Article en En | MEDLINE | ID: mdl-39291318
ABSTRACT

OBJECTIVE:

A surge of pediatric respiratory illnesses beset the United States in late 2022 and early 2023. This study evaluated within-surge hospital acute and critical care resource availability and utilization. The study aimed to determine pediatric hospital acute and critical care resource use during a respiratory illness surge.

METHODS:

Between January and February 2023, an online survey was sent to the sections of hospital medicine and critical care of the American Academy of Pediatrics, community discussion forums of the Children's Hospital Association, and PedSCCM-a pediatric critical care website. Data were summarized with median values and interquartile range.

RESULTS:

Across 35 hospitals with pediatric intensive care units (PICU), increase in critical care resource use was significant. In the month preceding the survey, 26 (74%) hospitals diverted patients away from their emergency department (ED) to other hospitals, with 46% diverting 1-5 patients, 23% diverting 6-10 patients, and 31% diverting more than 10 patients. One in 5 hospitals reported moving patients on mechanical ventilation from the PICU to other settings, including the ED (n = 2), intermediate care unit (n = 2), cardiac ICU (n = 1), ward converted to an ICU (n = 1), and a ward (n = 1). Utilization of human critical care resources was high, with PICU faculty, nurses, and respiratory therapists working at 100% capacity.

CONCLUSIONS:

The respiratory illness surge triggered significant hospital resource use and diversion of patients away from hospitals. Pediatric public health emergency-preparedness should innovate around resource capacity.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Capacidad de Reacción Límite: Child / Humans País/Región como asunto: America do norte Idioma: En Revista: Disaster Med Public Health Prep Asunto de la revista: SAUDE PUBLICA Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Capacidad de Reacción Límite: Child / Humans País/Región como asunto: America do norte Idioma: En Revista: Disaster Med Public Health Prep Asunto de la revista: SAUDE PUBLICA Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos