ID | 60365 |
JaLCDOI | |
フルテキストURL | |
著者 |
Tsukahara, Kohei
Department of Emergency, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
publons
Naitou, Hiromichi
Department of Emergency, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
ORCID
Kaken ID
publons
Yorifuji, Takashi
Department of Epidemiology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
ORCID
Kaken ID
publons
researchmap
Nosaka, Nobuyuki
Department of Pediatrics, Cedars-Sinai Medical Center
Yamamoto, Hirotsugu
Department of Emergency, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
Osako, Takaaki
Department of Emergency, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
Nakao, Atsunori
Department of Emergency, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
Kaken ID
the JaRPAC Study Group
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抄録 | The importance of centralizing treatment services for severely ill children has been well established, but such entralization remains difficult in Japan. We aimed to compare the trauma and illness severity and mortality of children admitted to two common types of ICUs for children. According to the type of management and disposition of the medical provider, we classified ICUs as pediatric ICUs [PICUs] or general ICUs, and analyzed differences in endogenous and exogenous illness settings between them. Overall, 1,333 pediatric patients were included, with 1,143 patients admitted to PICUs and 190 patients to general ICUs. The Pediatric Cerebral Performance Category score (PCPC) at discharge was significantly lower in the PICU group (adjusted OR: 0.45; 95%CI: 0.23-0.88). Death and unfavorable neurological outcomes occurred less often in the PICU group (adjusted OR: 0.29; 95%CI: 0.14-0.60). However, when limited to exogenous illness, PCPC scores (adjusted OR: 0.38; 95%CI: 0.07-1.99) or death/unfavorable outcomes (adjusted OR: 0.72; 95%CI: 0.08-6.34) did not differ between the groups. PCPC deterioration and overall sequelae/death rates were lower in PICUs for children with endogenous illnesses, although the outcomes of exogenous illness were similar between the 2 unit types. Further studies on the necessity of centralization are warranted.
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キーワード | kids
critical care
mortality
morbidity
centralization
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Amo Type | Original Article
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出版物タイトル |
Acta Medica Okayama
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発行日 | 2020-08
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巻 | 74巻
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号 | 4号
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出版者 | Okayama University Medical School
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開始ページ | 285
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終了ページ | 291
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ISSN | 0386-300X
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NCID | AA00508441
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資料タイプ |
学術雑誌論文
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言語 |
英語
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著作権者 | CopyrightⒸ 2020 by Okayama University Medical School
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論文のバージョン | publisher
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査読 |
有り
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PubMed ID | |
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NAID |