Characteristics of Medically Transported Critically Ill Children with Respiratory Failure in Latin America: Implications for Outcomes

Jesus A. Serra; Franco Díaz; Pablo Cruces; Cristobal Carvajal; Maria J. Nuñez; A. Donoso; J.A. Bravo-Serrano; M. Carbonell; C. Courtie; A. Fernández; L. Martínez-Arroyo; J. Martínez; S. Menta; Luis Pedrozo-Ortiz; A. Wegner; Nicolas Monteverde-Fernández; Juan C. Jaramillo-Bustamante; Roberto Jabornisky; Sebastián González-Dambrauskas; Sapna R. Kudchadkar; Pablo Vásquez-Hoyos; On behalf of LARed Network

doi:10.1055/s-0040-1722204

Journal of Pediatric Intensive Care, Inhaltsverzeichnis

J Pediatr Intensive Care 2022; 11(03): 201-208
DOI: 10.1055/s-0040-1722204

Original Article

Characteristics of Medically Transported Critically Ill Children with Respiratory Failure in Latin America: Implications for Outcomes

Jesus A. Serra

¹Division of Pediatric Intensive Care, Department of Pediatrics, Casa de Galicia, Montevideo, Uruguay

,

Franco Díaz

²Pediatric Intensive Care Division, Departamento de Pediatría, Hospital El Carmen de Maipú, Santiago, Chile

³Instituto de Ciencias e Innovación en Medicina, Universidad del Desarrollo, Santiago, Chile

,

Pablo Cruces

²Pediatric Intensive Care Division, Departamento de Pediatría, Hospital El Carmen de Maipú, Santiago, Chile

⁴Departamento de Pediatría, Facultad de Ciencias de la Vida, Universidad Andrés Bello, Santiago, Chile

,

Cristobal Carvajal

³Instituto de Ciencias e Innovación en Medicina, Universidad del Desarrollo, Santiago, Chile

⁵Pediatric Intensive Care Division, Departamento de Pediatría, Facultad de Medicina, Clínica Alemana, Santiago, Chile

,

Maria J. Nuñez

⁶Pediatric Intensive Care Division, Departamento de Pediatría, Hospital Clínico La Florida Dra. Eloísa Díaz Insunza, Santiago, Chile

,

A. Donoso

⁶Pediatric Intensive Care Division, Departamento de Pediatría, Hospital Clínico La Florida Dra. Eloísa Díaz Insunza, Santiago, Chile

,

J.A. Bravo-Serrano

⁷Pediatric Intensive Care Division, Departamento de Pediatría, Caja Nacional de Salud, La Paz, Bolivia

,

M. Carbonell

⁸Pediatric Intensive Care Division, Departamento de Pediatría, Médica Uruguaya, Montevideo, Uruguay

,

C. Courtie

⁹Pediatric Intensive Care Division, Departamento de Pediatría, Hospital de Sanidad Militar, Montevideo, Uruguay

,

A. Fernández

¹⁰Pediatric Intensive Care Division, Departamento de Pediatría, Asociación Española, Montevideo, Uruguay

,

L. Martínez-Arroyo

¹¹Pediatric Intensive Care Division, Departamento de Pediatría, COMEPA, Paysandú, Uruguay

,

J. Martínez

⁹Pediatric Intensive Care Division, Departamento de Pediatría, Hospital de Sanidad Militar, Montevideo, Uruguay

,

S. Menta

¹²Pediatric Intensive Care Division, Departamento de Pediatría, Hospital Regional de Tacuarembó, Tacuarembó, Uruguay

,

Luis Pedrozo-Ortiz

¹³Pediatric Intensive Care Division, Departamento de Pediatría, Hospital Regional de Salto, Salto, Uruguay

,

A. Wegner

¹⁴Pediatric Intensive Care Division, Departamento de Pediatría, Complejo Asistencial Dr. Sótero del Río, Santiago, Chile

,

Nicolas Monteverde-Fernández

⁸Pediatric Intensive Care Division, Departamento de Pediatría, Médica Uruguaya, Montevideo, Uruguay

,

Juan C. Jaramillo-Bustamante

¹⁵Pediatric Intensive Care Division, Departamento de Pediatría, Hospital General de Medellín, Colombia

¹⁶Pediatric Intensive Care Division, Departamento de Pediatría, Facultad de Medicina, Universidad de Antioquía, Colombia

,

Roberto Jabornisky

¹⁷Pediatric Intensive Care Division, Departamento de Pediatría, Hospital Juan Pablo II, Corrientes, Argentina

,

Sebastián González-Dambrauskas

¹Division of Pediatric Intensive Care, Department of Pediatrics, Casa de Galicia, Montevideo, Uruguay

,

Sapna R. Kudchadkar

¹⁸Pediatric Intensive Care Division, Departamento de Pediatría, Johns Hopkins University School of Medicine, Baltimore, United States

,

Pablo Vásquez-Hoyos

¹⁹Pediatric Intensive Care Division, Departamento de Pediatría, Departamento de Pediatría, Sociedad de Cirugía Hospital de San José, Bogotá, Colombia

²⁰Pediatric Intensive Care Division, Departamento de Pediatría, Fundación Universitaria de Ciencias de la Salud, Bogotá, Colombia

²¹Pediatric Intensive Care Division, Departamento de Pediatría, Universidad Nacional de Colombia, Bogotá, Colombia

,

On behalf of LARed Network

› Institutsangaben

Abstract

Several challenges exist for referral and transport of critically ill children in resource-limited regions such as Latin America; however, little is known about factors associated with clinical outcomes. Thus, we aimed to describe the characteristics of critically ill children in Latin America transferred to pediatric intensive care units for acute respiratory failure to identify risk factors for mortality. We analyzed data from 2,692 patients admitted to 28 centers in the Pediatric Collaborative Network of Latin America Acute Respiratory Failure Registry. Among patients referred from another facility (773, 28%), nonurban transports were independently associated with mortality (adjusted odds ratio = 9.4; 95% confidence interval: 2.4–36.3).

Keywords

patient transfer - critical illness - mortality - Latin America - hospitals - urban

Volltext

Referenzen

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