Age-Specific Distribution of Diagnosis and Outcomes of Children Admitted to ICUs: A Population-Based Cohort Study

Minyoung Jung, Hyejeong Park, Danbee Kang, Jinkyeong Park, Kyeongman Jeon, Chi Ryang Chung, Jeong Hoon Yang, Yang Hyun Cho, Gee Young Suh, Eliseo Guallar, Juhee Cho, Joongbum Cho

Research output: Contribution to journalArticle

Abstract

OBJECTIVES: Although several studies have reported outcome data on critically ill children, detailed reports by age are not available. We aimed to evaluate the age-specific estimates of trends in causes of diagnosis, procedures, and outcomes of pediatric admissions to ICUs in a national representative sample. DESIGN: A population-based retrospective cohort study. SETTING: Three hundred forty-four hospitals in South Korea. PATIENTS: All pediatric admissions to ICUs in Korea from August 1, 2009, to September 30, 2014, were covered by the Korean National Health Insurance Corporation, with virtually complete coverage of the pediatric population in Korea. Patients less than 18 years with at least one ICUs admission between August 1, 2009, and September 30, 2014. We excluded neonatal admissions (< 28 days), neonatal ICUs, and admissions for health status other than a disease or injury. The final sample size was 38,684 admissions from 32,443 pediatric patients.None. MEASUREMENTS AND MAIN RESULTS: The overall age-standardized admission rate for pediatric patients was 75.9 admissions per 100,000 person-years. The most common primary diagnosis of admissions was congenital malformation (10,897 admissions, 28.2%), with marked differences by age at admission (5,712 admissions [54.8%] in infants, 3,994 admissions [24.6%] in children, and 1,191 admissions [9.9%] in adolescents). Injury was the most common primary diagnosis in adolescents (3,248 admissions, 27.1%). The overall in-hospital mortality was 2,234 (5.8%) with relatively minor variations across age. Neoplasms and circulatory and neurologic diseases had both high frequency of admissions and high in-hospital mortality. CONCLUSIONS: Admission patterns, diagnosis, management, and outcomes of pediatric patients admitted to ICUs varied by age groups. Strategies to improve critical care qualities of pediatric patients need to be based on the differences of age and may need to be targeted at specific age groups.

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Age Distribution
Cohort Studies
Pediatrics
Population
Korea
Hospital Mortality
Age Groups
Republic of Korea
Neonatal Intensive Care Units
Wounds and Injuries
National Health Programs
Critical Care
Nervous System Diseases
Critical Illness
Sample Size
Health Status
Retrospective Studies
Neoplasms

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Critical Care and Intensive Care Medicine

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Age-Specific Distribution of Diagnosis and Outcomes of Children Admitted to ICUs : A Population-Based Cohort Study. / Jung, Minyoung; Park, Hyejeong; Kang, Danbee; Park, Jinkyeong; Jeon, Kyeongman; Chung, Chi Ryang; Yang, Jeong Hoon; Cho, Yang Hyun; Suh, Gee Young; Guallar, Eliseo; Cho, Juhee; Cho, Joongbum.

In: Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies, Vol. 20, No. 7, 01.07.2019, p. e301-e310.

Research output: Contribution to journalArticle

Jung, Minyoung ; Park, Hyejeong ; Kang, Danbee ; Park, Jinkyeong ; Jeon, Kyeongman ; Chung, Chi Ryang ; Yang, Jeong Hoon ; Cho, Yang Hyun ; Suh, Gee Young ; Guallar, Eliseo ; Cho, Juhee ; Cho, Joongbum. / Age-Specific Distribution of Diagnosis and Outcomes of Children Admitted to ICUs : A Population-Based Cohort Study. In: Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies. 2019 ; Vol. 20, No. 7. pp. e301-e310.
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abstract = "OBJECTIVES: Although several studies have reported outcome data on critically ill children, detailed reports by age are not available. We aimed to evaluate the age-specific estimates of trends in causes of diagnosis, procedures, and outcomes of pediatric admissions to ICUs in a national representative sample. DESIGN: A population-based retrospective cohort study. SETTING: Three hundred forty-four hospitals in South Korea. PATIENTS: All pediatric admissions to ICUs in Korea from August 1, 2009, to September 30, 2014, were covered by the Korean National Health Insurance Corporation, with virtually complete coverage of the pediatric population in Korea. Patients less than 18 years with at least one ICUs admission between August 1, 2009, and September 30, 2014. We excluded neonatal admissions (< 28 days), neonatal ICUs, and admissions for health status other than a disease or injury. The final sample size was 38,684 admissions from 32,443 pediatric patients.None. MEASUREMENTS AND MAIN RESULTS: The overall age-standardized admission rate for pediatric patients was 75.9 admissions per 100,000 person-years. The most common primary diagnosis of admissions was congenital malformation (10,897 admissions, 28.2{\%}), with marked differences by age at admission (5,712 admissions [54.8{\%}] in infants, 3,994 admissions [24.6{\%}] in children, and 1,191 admissions [9.9{\%}] in adolescents). Injury was the most common primary diagnosis in adolescents (3,248 admissions, 27.1{\%}). The overall in-hospital mortality was 2,234 (5.8{\%}) with relatively minor variations across age. Neoplasms and circulatory and neurologic diseases had both high frequency of admissions and high in-hospital mortality. CONCLUSIONS: Admission patterns, diagnosis, management, and outcomes of pediatric patients admitted to ICUs varied by age groups. Strategies to improve critical care qualities of pediatric patients need to be based on the differences of age and may need to be targeted at specific age groups.",
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T1 - Age-Specific Distribution of Diagnosis and Outcomes of Children Admitted to ICUs

T2 - A Population-Based Cohort Study

AU - Jung, Minyoung

AU - Park, Hyejeong

AU - Kang, Danbee

AU - Park, Jinkyeong

AU - Jeon, Kyeongman

AU - Chung, Chi Ryang

AU - Yang, Jeong Hoon

AU - Cho, Yang Hyun

AU - Suh, Gee Young

AU - Guallar, Eliseo

AU - Cho, Juhee

AU - Cho, Joongbum

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N2 - OBJECTIVES: Although several studies have reported outcome data on critically ill children, detailed reports by age are not available. We aimed to evaluate the age-specific estimates of trends in causes of diagnosis, procedures, and outcomes of pediatric admissions to ICUs in a national representative sample. DESIGN: A population-based retrospective cohort study. SETTING: Three hundred forty-four hospitals in South Korea. PATIENTS: All pediatric admissions to ICUs in Korea from August 1, 2009, to September 30, 2014, were covered by the Korean National Health Insurance Corporation, with virtually complete coverage of the pediatric population in Korea. Patients less than 18 years with at least one ICUs admission between August 1, 2009, and September 30, 2014. We excluded neonatal admissions (< 28 days), neonatal ICUs, and admissions for health status other than a disease or injury. The final sample size was 38,684 admissions from 32,443 pediatric patients.None. MEASUREMENTS AND MAIN RESULTS: The overall age-standardized admission rate for pediatric patients was 75.9 admissions per 100,000 person-years. The most common primary diagnosis of admissions was congenital malformation (10,897 admissions, 28.2%), with marked differences by age at admission (5,712 admissions [54.8%] in infants, 3,994 admissions [24.6%] in children, and 1,191 admissions [9.9%] in adolescents). Injury was the most common primary diagnosis in adolescents (3,248 admissions, 27.1%). The overall in-hospital mortality was 2,234 (5.8%) with relatively minor variations across age. Neoplasms and circulatory and neurologic diseases had both high frequency of admissions and high in-hospital mortality. CONCLUSIONS: Admission patterns, diagnosis, management, and outcomes of pediatric patients admitted to ICUs varied by age groups. Strategies to improve critical care qualities of pediatric patients need to be based on the differences of age and may need to be targeted at specific age groups.

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