Family Presence During Resuscitation and Invasive Procedures in Pediatric Critical Care: A Systematic Review

2014 ◽  
Vol 23 (6) ◽  
pp. 477-485 ◽  
Author(s):  
S. S. McAlvin ◽  
A. Carew-Lyons
Keyword(s):  
Systematic Review ◽  
Critical Care ◽  
Invasive Procedures ◽  
Family Presence ◽  
Pediatric Critical Care

Family Presence During Cardiopulmonary Resuscitation and Invasive Procedures: Practices of Critical Care and Emergency Nurses

2003 ◽  
Vol 12 (3) ◽  
pp. 246-257 ◽  
Author(s):  
Susan L. MacLean ◽  
Cathie E. Guzzetta ◽  
Cheri White ◽  
Dorrie Fontaine ◽  
Dezra J. Eichhorn ◽  
...  
Keyword(s):  
Critical Care ◽  
Cardiopulmonary Resuscitation ◽  
American Association ◽  
Family Members ◽  
Invasive Procedure ◽  
Critical Care Nurses ◽  
Invasive Procedures ◽  
Emergency Nurses ◽  
Family Presence ◽  
Do So

• Background Increasingly, patients’ families are remaining with them during cardiopulmonary resuscitation and invasive procedures, but this practice remains controversial and little is known about the practices of critical care and emergency nurses related to family presence. • Objective To identify the policies, preferences, and practices of critical care and emergency nurses for having patients’ families present during resuscitation and invasive procedures. • Methods A 30-item survey was mailed to a random sample of 1500 members of the American Association of Critical-Care Nurses and 1500 members of the Emergency Nurses Association. • Results Among the 984 respondents, 5% worked on units with written policies allowing family presence during both resuscitation and invasive procedures and 45% and 51%, respectively, worked on units that allowed it without written policies during resuscitation or during invasive procedures. Some respondents preferred written policies allowing family presence (37% for resuscitation, 35% for invasive procedures), whereas others preferred unwritten policies allowing it (39% for resuscitation, 41% for invasive procedures). Many respondents had taken family members to the bedside (36% for resuscitation, 44% for invasive procedure) or would do so in the future (21% for resuscitation, 18% for invasive procedures), and family members often asked to be present (31% for resuscitation, 61% for invasive procedures). • Conclusions Nearly all respondents have no written policies for family presence yet most have done (or would do) it, prefer it be allowed, and are confronted with requests from family members to be present. Written policies or guidelines for family presence during resuscitation and invasive procedures are recommended.

Family presence during cardiopulmonary resuscitation and invasive procedures: Practices of critical care and emergency nurses

2003 ◽  
Vol 29 (3) ◽  
pp. 208-221 ◽  
Author(s):  
Susan L. MacLean ◽  
Cathie E. Guzzetta ◽  
Cheri White ◽  
Dorrie Fontaine ◽  
Dezra J. Eichhorn ◽  
...  
Keyword(s):  
Critical Care ◽  
Cardiopulmonary Resuscitation ◽  
Invasive Procedures ◽  
Emergency Nurses ◽  
Family Presence

Observation studies vs therapeutic trials in three journals over three decades of pediatric critical care: a systematic review.

2019 ◽  
Author(s):  
John Scott Baird
Keyword(s):  
Systematic Review ◽  
Critical Care ◽  
Impact Factor ◽  
Citation Count ◽  
Impact Factors ◽  
Pediatric Critical Care ◽  
Therapeutic Trials ◽  
Pubmed Search ◽  
Medical Subspecialty ◽  
The Impact

Abstract Background: Pediatric critical care developed rapidly as a medical subspecialty over the three decades since 1987, concurrent with a decline in Pediatric ICU mortality rates. It would be interesting to know if research characterized as observation studies or therapeutic trials had a greater impact on this subspecialty during this time. Methods: Three journals with a broad range of impact factors which published pediatric critical care research between 1988 and 2017 were chosen for a systematic review, including a PubMed search for all pediatric critical care studies in these journals during the study period. Studies were characterized as either observation studies or therapeutic trials. Each study’s impact was assessed using citation counts collected from Google Scholar. Results: Therapeutic trials as a percentage of research studies increased with a journal’s impact factor; in addition, therapeutic trials were cited more frequently than observation studies. However, there were more observation studies than therapeutic trials, the citation count increased for both observation studies and therapeutic trials as a journal’s impact factor increased, and the citation count was similar for some or all observation studies and therapeutic trials in two of the study journals. The 10 most cited studies included 7 observation studies and 3 therapeutic trials. Conclusions: This systematic review of three journals suggests that both observation studies and therapeutic trials contributed to the impact of research in pediatric critical care during the three decades following 1987.

scholarly journals Communication Training in Adult and Pediatric Critical Care Medicine. A Systematic Review

ATS Scholar ◽  
2020 ◽  
Vol 1 (3) ◽  
pp. 316-330
Author(s):  
Michael P. Mendez ◽  
Harin Patel ◽  
Jordan Talan ◽  
Michelle Doering ◽  
Jared Chiarchiaro ◽  
...  
Keyword(s):  
Systematic Review ◽  
Critical Care ◽  
Communication Training ◽  
Critical Care Medicine ◽  
Pediatric Critical Care

A Meta-analysis of the Utility of Red Cell Distribution Width as a Biomarker to Predict Outcomes in Pediatric Illness (PROSPERO CRD42020208777)

2021 ◽  
Author(s):  
Devin Murphy ◽  
Etan Orgel ◽  
Wouter Koek ◽  
Melissa Frei-Jones ◽  
Christopher Denton ◽  
...  
Keyword(s):  
Systematic Review ◽  
Critical Care ◽  
Critically Ill ◽  
Meta Analysis ◽  
Red Cell Distribution Width ◽  
Critically Ill Children ◽  
Red Cell ◽  
Cell Distribution ◽  
Pediatric Critical Care ◽  
Distribution Width

AbstractRed cell distribution width (RDW) is an average of the variation in red blood cell (RBC) sizes reported on a complete blood count. An elevated RDW indicates a pathological process that is affecting erythropoiesis. Studies showed that as the severity of disease process increases, the RDW often increases as well. Particularly in resource-limited countries, RDW has been studied as an outcome predictor for conditions in a variety of disciplines and is offered as an adjunct monitoring tool that is cost effective, readily available, and indicative of pathological processes amenable to intervention. Particularly in pediatric critical care settings, RDW has been shown to be a reliable tool for surveillance of disease states such as sepsis. Despite the increased attention of RDW as a marker for disease outcome, collective evaluation on the utility of RDW as a marker for outcome in pediatric critical care settings is lacking. We offer a systematic review and meta-analysis of published studies to assess the ability of RDW to predict illness severity and mortality among pediatric critical care patients. Among eight studies of over 4,800 patients, we found over a two-fold increase in odds for mortality in critically ill children whose RDW was above 15.7%. This is the first systematic review of RDW being used to predict mortality in critically ill children and findings of this study may prompt early intervention in the pediatric critical care setting.

The Association of Pediatric Critical Care Medicine Training Programs with Research Publication Productivity and Employment Outcomes of Their Graduates

2020 ◽  
Author(s):  
Sonali Basu ◽  
Robin Horak ◽  
Murray M. Pollack
Keyword(s):  
Critical Care ◽  
Intensive Care ◽  
Medical School ◽  
Training Programs ◽  
Fellowship Training ◽  
Publication Productivity ◽  
Research Publication ◽  
Pediatric Critical Care ◽  
Publication Success ◽  
Fellowship Programs

AbstractOur objective was to associate characteristics of pediatric critical care medicine (PCCM) fellowship training programs with career outcomes of PCCM physicians, including research publication productivity and employment characteristics. This is a descriptive study using publicly available data from 2557 PCCM physicians from the National Provider Index registry. We analyzed data on a systematic sample of 690 PCCM physicians representing 62 fellowship programs. There was substantial diversity in the characteristics of fellowship training programs in terms of fellowship size, intensive care unit (ICU) bed numbers, age of program, location, research rank of affiliated medical school, and academic metrics based on publication productivity of their graduates standardized over time. The clinical and academic attributes of fellowship training programs were associated with publication success and characteristics of their graduates' employment hospital. Programs with greater publication rate per graduate had more ICU beds and were associated with higher ranked medical schools. At the physician level, training program attributes including larger size, older program, and higher academic metrics were associated with graduates with greater publication productivity. There were varied characteristics of current employment hospitals, with graduates from larger, more academic fellowship training programs more likely to work in larger pediatric intensive care units (24 [interquartile range, IQR: 16–35] vs. 19 [IQR: 12–24] beds; p < 0.001), freestanding children's hospitals (52.6 vs. 26.3%; p < 0.001), hospitals with fellowship programs (57.3 vs. 40.3%; p = 0.01), and higher affiliated medical school research ranks (35.5 [IQR: 14–72] vs. 62 [IQR: 32, unranked]; p < 0.001). Large programs with higher academic metrics train physicians with greater publication success (H index 3 [IQR: 1–7] vs. 2 [IQR: 0–6]; p < 0.001) and greater likelihood of working in large academic centers. These associations may guide prospective trainees as they choose training programs that may foster their career values.

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