Morbidity: Changing the Outcome Paradigm for Pediatric Critical Care

Julia A Heneghan; Murray M Pollack

doi:10.1016/j.pcl.2017.06.011

Morbidity: Changing the Outcome Paradigm for Pediatric Critical Care

Pediatr Clin North Am. 2017 Oct;64(5):1147-1165. doi: 10.1016/j.pcl.2017.06.011.

Authors

Julia A Heneghan¹, Murray M Pollack²

Affiliations

¹ Critical Care Medicine, Children's National Health System, 111 Michigan Avenue Northwest, Washington, DC 20010, USA.
² Critical Care Medicine, Children's National Health System, 111 Michigan Avenue Northwest, Washington, DC 20010, USA; Department of Pediatrics, George Washington University School of Medicine and Health Sciences, Critical Care Medicine, Children's National Health system, 111 Michigan Avenue Northwest, Washington, DC 20010, USA. Electronic address: mpollack@childrensnational.org.

Abstract

The focus of critical care has evolved from saving lives to preservation of function. Morbidity rates in pediatric critical care are approximately double mortality rates. Morbidity includes complications of disease and medical care. In pediatric critical care, functional status morbidity is an intermediate outcome in the progression toward death and is the result of the same factors associated with mortality, including physiologic profiles and case-mix factors. The Functional Status Scale developed by Collaborative Pediatric Critical Care Research Network is a validated, granular, age-independent measure of functional status that has proved valuable and practical even in large outcome studies.

Keywords: Critical care; Functional status; Morbidity; Outcomes; Outcomes research; Pediatric critical care; Pediatric intensive care; Quality.

Publication types

Review

MeSH terms

Child
Critical Care*
Critical Illness / epidemiology
Critical Illness / therapy*
Health Status Indicators*
Humans
Morbidity*
Outcome Assessment, Health Care / methods*
Pediatrics
Quality of Life
Risk Assessment

Abstract

Publication types

MeSH terms

Grants and funding