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715 Internal referrals to Paediatric Intensive care: a 2.5 year review

Archives of disease in childhood, 2023-07, Vol.108 (Suppl 2), p.A338-A338 [Peer Reviewed Journal]

2023 Author(s) (or their employer(s)) 2023. No commercial re-use. See rights and permissions. Published by BMJ. ;ISSN: 0003-9888 ;EISSN: 1468-2044 ;DOI: 10.1136/archdischild-2023-rcpch.533

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  • Title:
    715 Internal referrals to Paediatric Intensive care: a 2.5 year review
  • Author: Corley, Peter ; Scarth, Jennifer
  • Subjects: Annual Reports ; Intensive care ; Patients ; Pediatrics
  • Is Part Of: Archives of disease in childhood, 2023-07, Vol.108 (Suppl 2), p.A338-A338
  • Description: ObjectivesThe Paediatric Intensive Care Unit in the Royal Hospital for Children Glasgow admits patients both externally from all over Scotland as well as internally from RHC itself. This audit looked at the demographics for patients referred internally, the admission rates and number of reviews undertaken prior to admission to PICU.MethodRetrospective review of ward referral forms over a 2.5 year period from June 2019 to December 2021. These forms are filled out when reviewing patients and then collated by whether the patient was admitted or not by the admin staff in the unit.ResultsThe total number of patients seen in 6 months of 2019 was equivalent to the total of either 2020 or 2021. Over 2/3rds of the patients reviewed were under 5 years of age with the 1–5yr bracket being the largest population reviewed and admitted to PICU.Figure 1 shows the percentage of patients admitted to PICU during this period of timeWithin the 2.5 year period, there was a trend towards more admission in the autumn months (Sept/Oct/Nov). The primary reason for admission to PICU was respiratory (153 out of 256 admissions). The combined acute receiving units (ED/CDU/ARU) provided over half the referrals however only 40% of these referrals required admission. The speciality wards within the hospital had a slightly higher average admission rate of 44%Table 1 shows the numbers of patients needing second, third or consultant review and those identified as watcher and their admission ratesAbstract 715 Figure 1ConclusionsOur data shows a trend over the COVID pandemic period for less referrals to PICU with an average admission rate of 40%. However this does show that of those referred to PICU, 60% remain on their parent ward under the care of their parent team and this shows how we can provide safe care and support teams on the ward. The percentage admitted following more than 1 review do increase and this may be due to the planned nature of these reviews or changes in the patient condition but does highlight the use of further reviews as a ‘safety net’ for patients on the ward. Consultant review, whether primary or secondary has a lower likelihood of admission. Ward ‘watchers’ had a much higher chance of admission and we would like to look at this further including the criteria set for identifying ‘watchers’.1. Paediatric Intensive Care Audit Network Annual Report (2021) (published 01/2022): Universities of Leeds and Leicester.
  • Publisher: London: BMJ Publishing Group LTD
  • Language: English
  • Identifier: ISSN: 0003-9888
    EISSN: 1468-2044
    DOI: 10.1136/archdischild-2023-rcpch.533
  • Source: AUTh Library subscriptions: ProQuest Central
    Alma/SFX Local Collection

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