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10.1097/CCM.0000000000005200 http://scihub22266oqcxt.onion/10.1097/CCM.0000000000005200 34259665!8594504!34259665     free     free     free Deprecated: Implicit conversion from float 231.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 231.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 231.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534       Crit+Care+Med 2021 ; 49 (12): 2033-2041 Nephropedia Template TP {{tp|p=34259665|t=2021. The Impact of Strict Public Health Restrictions on Pediatric Critical Illness |pdf=|usr=}}{{34259665}} gab.com Text The Impact of Strict Public Health Restrictions on Pediatric Critical Illness JO: Crit Care Med http://www.kidney.de/pget.php?&tw=1&pmid=34259665 #FOAvip 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.S. referral PICUs during February 15, 2020-May 14, 2020, compared with the same months during 2017-2019 (baseline). PATIENTS: PICU admissions excluding admissions for illnesses due to severe acute respiratory syndrome coronavirus 2 and readmissions during the same hospitalization. INTERVENTIONS: None. MEASUREMENTS AND MAIN RESULTS: Primary outcome was admission volumes during the period of stay-at-home orders (March 15, 2020-May 14, 2020) compared with baseline. Secondary outcomes were hospitalization characteristics including advanced support (e.g., invasive mechanical ventilation), PICU and hospital lengths of stay, and mortality. We used generalized linear mixed modeling to compare patient and admission characteristics during the stay-at-home orders period to baseline. We evaluated 7,960 admissions including 1,327 during March 15, 2020-May 14, 2020. Daily admissions and patients days were lower during the period of stay-at-home orders compared with baseline: median admissions 21 (interquartile range, 17-25) versus 36 (interquartile range, 30-42) (p < 0.001) and median patient days 93.0 (interquartile range, 55.9-136.7) versus 143.6 (interquartile range, 108.5-189.2) (p < 0.001). Admissions during the period of stay-at-home orders were less common in young children and for respiratory and infectious illnesses and more common for poisonings, endocrinopathies and for children with race/ethnicity categorized as other/unspecified. There were no differences in hospitalization characteristics except fewer patients received noninvasive ventilation during the period of stay-at-home orders. CONCLUSIONS: Reductions in PICU admissions suggest that much of pediatric critical illness in younger children and for respiratory and infectious illnesses may be preventable through targeted public health strategies. Twit Text FOAVip The Impact of Strict Public Health Restrictions on Pediatric Critical Illness ????Crit Care Med http://www.kidney.de/pget.php?&tw=1&pmid=34259665 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=34259665 #FOAvip English Wikipedia <ref>{{Cite pmid|34259665}}</ref> The Impact of Strict Public Health Restrictions on Pediatric Critical Illness #MMPMID34259665 Maddux AB; Campbell K; Woodruff AG; LaVelle J; Lutmer J; Kennedy CE; Malakooti M; McGuire JK; Shekerdemian L; Harris ZL; McCrory MC; Carpenter TC Crit Care Med 2021[Dec]; 49 (12): 2033-2041 PMID34259665show ga 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.S. referral PICUs during February 15, 2020-May 14, 2020, compared with the same months during 2017-2019 (baseline). PATIENTS: PICU admissions excluding admissions for illnesses due to severe acute respiratory syndrome coronavirus 2 and readmissions during the same hospitalization. INTERVENTIONS: None. MEASUREMENTS AND MAIN RESULTS: Primary outcome was admission volumes during the period of stay-at-home orders (March 15, 2020-May 14, 2020) compared with baseline. Secondary outcomes were hospitalization characteristics including advanced support (e.g., invasive mechanical ventilation), PICU and hospital lengths of stay, and mortality. We used generalized linear mixed modeling to compare patient and admission characteristics during the stay-at-home orders period to baseline. We evaluated 7,960 admissions including 1,327 during March 15, 2020-May 14, 2020. Daily admissions and patients days were lower during the period of stay-at-home orders compared with baseline: median admissions 21 (interquartile range, 17-25) versus 36 (interquartile range, 30-42) (p < 0.001) and median patient days 93.0 (interquartile range, 55.9-136.7) versus 143.6 (interquartile range, 108.5-189.2) (p < 0.001). Admissions during the period of stay-at-home orders were less common in young children and for respiratory and infectious illnesses and more common for poisonings, endocrinopathies and for children with race/ethnicity categorized as other/unspecified. There were no differences in hospitalization characteristics except fewer patients received noninvasive ventilation during the period of stay-at-home orders. CONCLUSIONS: Reductions in PICU admissions suggest that much of pediatric critical illness in younger children and for respiratory and infectious illnesses may be preventable through targeted public health strategies. |Adolescent[MESH] |Age Factors[MESH] |COVID-19/*epidemiology[MESH] |Child[MESH] |Child, Preschool[MESH] |Communicable Disease Control/*statistics & numerical data[MESH] |Female[MESH] |Humans[MESH] |Infant[MESH] |Intensive Care Units, Pediatric/*statistics & numerical data[MESH] |Length of Stay[MESH] |Male[MESH] |Pandemics[MESH] |Patient Admission/*statistics & numerical data[MESH] |Racial Groups[MESH] |Respiration, Artificial/statistics & numerical data[MESH] |Retrospective Studies[MESH] |SARS-CoV-2[MESH] |Severity of Illness Index[MESH] |Socioeconomic Factors[MESH]The Impact of Strict Public Health Restrictions on Pediatric Critical (epmc).pdf DeepDyve Pubget Overpricing