Unplanned Admissions, Emergency Department Visits, and Epilepsy After Critical Neurological Illness Requiring Prolonged Mechanical Ventilation in Children.

Background And Purpose: Long-term outcomes after pediatric neurocritical illness are poorly characterized. This study aims to characterize the frequency and risk factors for post-discharge unplanned health resource use in a pediatric neurocritical care population using insurance claims data.

Methods: Retrospective cohort study evaluating children who survived a hospitalization for an acute neurologic illness or injury requiring mechanical ventilation for >72 hours and had insurance eligibility in Colorado's All Payers Claims database.

Postdischarge health resource use in pediatric survivors of prolonged mechanical ventilation for acute respiratory illness.

We aimed to identify characteristics associated with postdischarge health resource use in children without medical complexity who survived an episode of prolonged mechanical ventilation for respiratory illness. We hypothesized that longer durations of mechanical ventilation, noncomplex chronic conditions, and severe acute respiratory distress syndrome (ARDS) would be associated with readmission or an Emergency Department (ED) visit. In this retrospective cohort, we evaluated children without a complex chronic condition who survived a respiratory illness requiring ≥3 days of mechanical ventilation and who had insurance eligibility within the Colorado All Payers Claims Database.

Identifying Long-Term Morbidities and Health Trajectories After Prolonged Mechanical Ventilation in Children Using State All Payer Claims Data.

Objectives: To identify postdischarge outcome phenotypes and risk factors for poor outcomes using insurance claims data.

Design: Retrospective cohort study.

Setting: Single quaternary center.

The Impact of Strict Public Health Restrictions on Pediatric Critical Illness.

Objectives: To characterize the impact of public health interventions on the volume and characteristics of admissions to the PICU.

Design: Multicenter retrospective cohort study.

Setting: Six U.

Low-Dose Epinephrine Boluses for Acute Hypotension in the PICU.

Objectives: To describe the use of low-dose bolus epinephrine in critically ill children during an acute hypotensive episode or prearrest condition.

Design: Institutional Review Board approved, single-center, retrospective medical chart review.

Setting: Large medical-surgical PICU within a freestanding, tertiary care children's hospital.