Abstract : In France recent legislation for pediatric critical care organization endorsed the creation of a ne
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Abstract : In France recent legislation for pediatric critical care organization endorsed the creation of a new level of pediatric care the intermediate care units. These units treat children who require close monitoring and/or continuous monitoring due to potential failure of 1 or more organs yet not to the degree of intensity of pediatric critical care. These rules do not provide precise admission and discharge guidelines for the pediatric patients requiring intermediate care. We conducted a questionnaire survey in all pediatric units in 3 French regions Franche-Comté Nord-Pas-de-Calais and Rhône-Alpes. We obtained a response rate of 62.2 from the pediatric units. We estimated the pediatric intermediate care demand with a unit occupancy rate of 80 at 1.2 beds per 10 pediatric medical beds 2.6 beds per 10 surgical beds and 4 beds per 10 critical care unit beds or hemato-oncology beds. The intermediate care demand was higher in university-affiliated hospitals. One-third of the children referred to these units were less than 1 year old 1/4 were less than 6 months old. We also described the diseases and potential organ failures of the patients who were referred to these intermediate care units. This study provides an estimate of the demand for pediatric intermediate care as defined in the French legislation and therefore helps implement projects to create such units. More specific criteria are still needed to oversee the implementation of these projects.Copyright (c) 2010 Elsevier Masson SAS. All rights reserved.PMID 20510591 PubMed - indexed for MEDLINEPublication Types MeSH TermsPublication Types English MeSH TermsAge DistributionBeds/statistics amp numerical dataChildChild Care/standards*Child PreschoolCritical Care/standards*Data CollectionFranceHumansInfantIntermediate Care Facilities/standards*QuestionnairesSurgical Procedures Operative/statistics amp numerical dataLinkOut - more resourcesFull Text SourcesElsevier ScienceEBSCOOhioLINK Electronic Journal CenterSwets Information ServicesMedicalCritical Care - MedlinePlus Health InformationChild Care - MedlinePlus Health Information Supplemental Content Related citations Descriptive analysis of critical care units in the United States patient characteristics and intensive care unit utilization. Crit Care Med. 1993 Descriptive analysis of critical care units in the United States patient characteristics and intensive care unit utilization.Groeger JS Guntupalli KK Strosberg M Halpern N Raphaely RC Cerra F Kaye W. Crit Care Med. 1993 Feb 21(2)279-91. Admission and discharge guidelines for the pediatric patient requiring intermediate care. Crit Care Med. 2004 Admission and discharge guidelines for the pediatric patient requiring intermediate care.Jaimovich DG Committee on Hospital Care and Section on Critical Care. Crit Care Med. 2004 May 32(5)1215-8. Descriptive analysis of critical care units in the United States. Crit Care Med. 1992 Descriptive analysis of critical care units in the United States.Groeger JS Strosberg MA Halpern NA Raphaely RC Kaye WE Guntupalli KK Bertram DL Greenbaum DM Clemmer TP Gallagher TJ. Crit Care Med. 1992 Jun 20(6)846-63. Review Pediatric intensive care in Argentina. Crit Care Med. 1993 Review Pediatric intensive care in Argentina.Schnitzler EJ. Crit Care Med. 1993 Sep 21(9 Suppl)S403-4. Review Variation in critical care services across North America and Western Europe. Crit Care Med. 2008 Review Variation in critical care services across North America and Western Europe.Wunsch H Angus DC Harrison DA Collange O Fowler R Hoste EA de Keizer NF Kersten A Linde-Zwirble WT Sandiumenge A et al. Crit Care Med. 2008 Oct 36(10)2787-93 e1-9. See reviews... See all... Recent activity Clear Turn Off Turn On Pediatric intermediate care demand results of a survey in 3 French regions. Pediatric intermediate care demand results of a survey in 3 French regions.Arch Pediatr. 2010 Aug 17(8)1147-52. Epub 2010 May 26 . PubMed Your browsing activity is empty. Activity recording is turned off. Turn recording back on See more... 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