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dc.contributor.author
Eulmesekian, Pablo Gustavo
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dc.contributor.author
Alvarez, Juan P.
dc.contributor.author
Ceriani Cernadas, José M.
dc.contributor.author
Pérez, Augusto
dc.contributor.author
Berberis, Stefanía
dc.contributor.author
Kondratiuk, Yanel
dc.date.available
2022-09-13T13:29:10Z
dc.date.issued
2020-03
dc.identifier.citation
Eulmesekian, Pablo Gustavo; Alvarez, Juan P.; Ceriani Cernadas, José M.; Pérez, Augusto; Berberis, Stefanía; et al.; The occurrence of adverse events is associated with increased morbidity and mortality in children admitted to a single pediatric intensive care unit; Springer; European Journal Of Pediatrics; 179; 3; 3-2020; 473-482
dc.identifier.issn
0340-6199
dc.identifier.uri
http://hdl.handle.net/11336/168496
dc.description.abstract
Healthcare can cause harm. The goal of this study is to evaluate the association between the occurrence of adverse events (AEs) and morbidity–mortality in critically ill children. A prospective cohort study was designed. All children admitted to the Pediatric Intensive Care Unit (PICU) between August 2016 and July 2017 were followed. An AE was considered any harm associated with a healthcare-related incident. AEs were identified in two steps: first, adverse clinical incidents (ACI) were recognized through direct observation and active surveillance by PICU physicians, and then the patient safety committee evaluated every ACI to define which would be considered an AE. The outcome was hospital morbidity–mortality. There were 467 ACI registered, 249 (53.31%) were considered AEs and the rate was 4.27/100 patient days. From the 842 children included, 142 (16.86%) suffered AEs, 39 (4.63%) experienced morbidity–mortality: 33 (3.92%) died, and 6 (0.71%) had morbidity. Multivariate analysis revealed that the occurrence of AEs was significantly associated with morbidity–mortality, OR 5.70 (CI95% 2.58–12.58, p = 0.001). This association was independent of age and severity of illness score. Conclusion: Experiencing AEs significantly increased the risk of morbidity–mortality in this cohort of PICU children.What is Known:• Many children suffer healthcare-associated harm during pediatric intensive care hospitalization.What is New:• This prospective cohort study shows that experiencing adverse events during pediatric intensive care hospitalization significantly increases the risk of morbidity and mortality independent of age and severity of illness at admission.
dc.format
application/pdf
dc.language.iso
eng
dc.publisher
Springer
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dc.rights
info:eu-repo/semantics/restrictedAccess
dc.rights.uri
https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
dc.subject
ADVERSE EVENTS
dc.subject
CHILDREN
dc.subject
CRITICAL CARE
dc.subject
MORBIDITY
dc.subject
MORTALITY
dc.subject
PATIENT SAFETY
dc.subject.classification
Medicina Critica y de Emergencia
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dc.subject.classification
Medicina Clínica
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dc.subject.classification
CIENCIAS MÉDICAS Y DE LA SALUD
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dc.title
The occurrence of adverse events is associated with increased morbidity and mortality in children admitted to a single pediatric intensive care unit
dc.type
info:eu-repo/semantics/article
dc.type
info:ar-repo/semantics/artículo
dc.type
info:eu-repo/semantics/publishedVersion
dc.date.updated
2022-09-12T14:19:43Z
dc.journal.volume
179
dc.journal.number
3
dc.journal.pagination
473-482
dc.journal.pais
Alemania
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dc.journal.ciudad
Berlín
dc.description.fil
Fil: Eulmesekian, Pablo Gustavo. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Hospital Italiano; Argentina
dc.description.fil
Fil: Alvarez, Juan P.. Hospital Italiano; Argentina
dc.description.fil
Fil: Ceriani Cernadas, José M.. Hospital Italiano; Argentina
dc.description.fil
Fil: Pérez, Augusto. Hospital Italiano; Argentina
dc.description.fil
Fil: Berberis, Stefanía. Hospital Italiano; Argentina
dc.description.fil
Fil: Kondratiuk, Yanel. Hospital Italiano; Argentina
dc.journal.title
European Journal Of Pediatrics
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dc.relation.alternativeid
info:eu-repo/semantics/altIdentifier/url/https://link.springer.com/article/10.1007/s00431-019-03528-z
dc.relation.alternativeid
info:eu-repo/semantics/altIdentifier/doi/http://dx.doi.org/10.1007/s00431-019-03528-z
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