2019 WACEM - Academic college of emergency experts consensus recommendations on admission criteria to pediatric intensive care unit from the emergency departments in India

There is a global variation in policies that define clear indications for pediatric intensive care unit (PICU) admissions. In resource-limited countries where PICU service availability is limited, the admission criteria to PICU are urgently needed to optimize the utilization of available intensive c...

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Main Authors: A V Lalitha, Bernhard Fassl, Ramon E Gist, Binita R Shah, Nitin Chawla, Ajay Singh, Arun Baranawal, Shivakumar Shamarao, Raghavendra Vanaki, Prashant Mahajan, Reena Patel, Vivek Chauhan, Prerna Batra, Abhijeet Saha, Sagar Galwankar, Santosh Soans
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2019-01-01
Series:Journal of Emergencies, Trauma and Shock
Subjects:
Online Access:http://www.onlinejets.org/article.asp?issn=0974-2700;year=2019;volume=12;issue=2;spage=155;epage=162;aulast=Lalitha
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spelling doaj-fe08214ee14f43cebe1a96fee444dcf72020-11-25T02:41:34ZengWolters Kluwer Medknow PublicationsJournal of Emergencies, Trauma and Shock0974-27002019-01-0112215516210.4103/JETS.JETS_140_182019 WACEM - Academic college of emergency experts consensus recommendations on admission criteria to pediatric intensive care unit from the emergency departments in IndiaA V LalithaBernhard FasslRamon E GistBinita R ShahNitin ChawlaAjay SinghArun BaranawalShivakumar ShamaraoRaghavendra VanakiPrashant MahajanReena PatelVivek ChauhanPrerna BatraAbhijeet SahaSagar GalwankarSantosh SoansThere is a global variation in policies that define clear indications for pediatric intensive care unit (PICU) admissions. In resource-limited countries where PICU service availability is limited, the admission criteria to PICU are urgently needed to optimize the utilization of available intensive care services and to maximize patient benefit. The objective of these consensus recommendations on PICU admission criteria is to provide a framework and reference for future policy development by professional societies and governments. Design: The consensus recommendations were developed by a multidisciplinary consensus task force comprised of international experts in pediatric critical care, emergency medicine, trauma, critical care, and health policy stakeholders during the 2016 annual INDUSEM WORLD CONGRESS in Bengaluru, India. Measurements and Main Results: A task force steering committee completed a global literature search about PICU admission criteria development, reviewed PICU admission guidelines published by a variety of professional organizations worldwide, and performed a literature review of relevant publications. The objectives of this task force is to provide a framework for validated approach to determine appropriateness of intensive care unit (ICU) admission in India (resource-limited setting) based on (a) prioritization modeling; (b) general clinical criteria; (c) clinical and objective parameters; and (d) other criteria. The expert consensus panel then discussed and ranked proposed criteria according to scientific evidence, the current standard of care, and expert opinion in the context of the Indian health system. The general subject was addressed in sections: admission criteria and benefits of different levels of care. Following the appraisal of the literature, discussion, and consensus, recommendations were written. Conclusion: Although these are consensus recommendations, the subjects addressed encompass complex ethical and medicolegal aspects of patient care that affect daily clinical practice. The scarcity of high-quality evidence made it difficult to answer all the questions asked related to ICU admission. Despite these limitations, the members of the task force believe that these recommendations provide a comprehensive framework to guide practitioners in making informed decisions during the admission process. This publication is designed to assist in future development of health policies to ensure effective resource allocation, maximize healthcare benefits, and improve access to quality care for children.http://www.onlinejets.org/article.asp?issn=0974-2700;year=2019;volume=12;issue=2;spage=155;epage=162;aulast=LalithaAdmission criteriaconsensus recommendationspediatric intensive carepediatric intensive care unit
collection DOAJ
language English
format Article
sources DOAJ
author A V Lalitha
Bernhard Fassl
Ramon E Gist
Binita R Shah
Nitin Chawla
Ajay Singh
Arun Baranawal
Shivakumar Shamarao
Raghavendra Vanaki
Prashant Mahajan
Reena Patel
Vivek Chauhan
Prerna Batra
Abhijeet Saha
Sagar Galwankar
Santosh Soans
spellingShingle A V Lalitha
Bernhard Fassl
Ramon E Gist
Binita R Shah
Nitin Chawla
Ajay Singh
Arun Baranawal
Shivakumar Shamarao
Raghavendra Vanaki
Prashant Mahajan
Reena Patel
Vivek Chauhan
Prerna Batra
Abhijeet Saha
Sagar Galwankar
Santosh Soans
2019 WACEM - Academic college of emergency experts consensus recommendations on admission criteria to pediatric intensive care unit from the emergency departments in India
Journal of Emergencies, Trauma and Shock
Admission criteria
consensus recommendations
pediatric intensive care
pediatric intensive care unit
author_facet A V Lalitha
Bernhard Fassl
Ramon E Gist
Binita R Shah
Nitin Chawla
Ajay Singh
Arun Baranawal
Shivakumar Shamarao
Raghavendra Vanaki
Prashant Mahajan
Reena Patel
Vivek Chauhan
Prerna Batra
Abhijeet Saha
Sagar Galwankar
Santosh Soans
author_sort A V Lalitha
title 2019 WACEM - Academic college of emergency experts consensus recommendations on admission criteria to pediatric intensive care unit from the emergency departments in India
title_short 2019 WACEM - Academic college of emergency experts consensus recommendations on admission criteria to pediatric intensive care unit from the emergency departments in India
title_full 2019 WACEM - Academic college of emergency experts consensus recommendations on admission criteria to pediatric intensive care unit from the emergency departments in India
title_fullStr 2019 WACEM - Academic college of emergency experts consensus recommendations on admission criteria to pediatric intensive care unit from the emergency departments in India
title_full_unstemmed 2019 WACEM - Academic college of emergency experts consensus recommendations on admission criteria to pediatric intensive care unit from the emergency departments in India
title_sort 2019 wacem - academic college of emergency experts consensus recommendations on admission criteria to pediatric intensive care unit from the emergency departments in india
publisher Wolters Kluwer Medknow Publications
series Journal of Emergencies, Trauma and Shock
issn 0974-2700
publishDate 2019-01-01
description There is a global variation in policies that define clear indications for pediatric intensive care unit (PICU) admissions. In resource-limited countries where PICU service availability is limited, the admission criteria to PICU are urgently needed to optimize the utilization of available intensive care services and to maximize patient benefit. The objective of these consensus recommendations on PICU admission criteria is to provide a framework and reference for future policy development by professional societies and governments. Design: The consensus recommendations were developed by a multidisciplinary consensus task force comprised of international experts in pediatric critical care, emergency medicine, trauma, critical care, and health policy stakeholders during the 2016 annual INDUSEM WORLD CONGRESS in Bengaluru, India. Measurements and Main Results: A task force steering committee completed a global literature search about PICU admission criteria development, reviewed PICU admission guidelines published by a variety of professional organizations worldwide, and performed a literature review of relevant publications. The objectives of this task force is to provide a framework for validated approach to determine appropriateness of intensive care unit (ICU) admission in India (resource-limited setting) based on (a) prioritization modeling; (b) general clinical criteria; (c) clinical and objective parameters; and (d) other criteria. The expert consensus panel then discussed and ranked proposed criteria according to scientific evidence, the current standard of care, and expert opinion in the context of the Indian health system. The general subject was addressed in sections: admission criteria and benefits of different levels of care. Following the appraisal of the literature, discussion, and consensus, recommendations were written. Conclusion: Although these are consensus recommendations, the subjects addressed encompass complex ethical and medicolegal aspects of patient care that affect daily clinical practice. The scarcity of high-quality evidence made it difficult to answer all the questions asked related to ICU admission. Despite these limitations, the members of the task force believe that these recommendations provide a comprehensive framework to guide practitioners in making informed decisions during the admission process. This publication is designed to assist in future development of health policies to ensure effective resource allocation, maximize healthcare benefits, and improve access to quality care for children.
topic Admission criteria
consensus recommendations
pediatric intensive care
pediatric intensive care unit
url http://www.onlinejets.org/article.asp?issn=0974-2700;year=2019;volume=12;issue=2;spage=155;epage=162;aulast=Lalitha
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