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...
Main Authors: | , , , , , , , , , , , , , , , |
---|---|
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 |
id |
doaj-fe08214ee14f43cebe1a96fee444dcf7 |
---|---|
record_format |
Article |
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 |
work_keys_str_mv |
AT avlalitha 2019wacemacademiccollegeofemergencyexpertsconsensusrecommendationsonadmissioncriteriatopediatricintensivecareunitfromtheemergencydepartmentsinindia AT bernhardfassl 2019wacemacademiccollegeofemergencyexpertsconsensusrecommendationsonadmissioncriteriatopediatricintensivecareunitfromtheemergencydepartmentsinindia AT ramonegist 2019wacemacademiccollegeofemergencyexpertsconsensusrecommendationsonadmissioncriteriatopediatricintensivecareunitfromtheemergencydepartmentsinindia AT binitarshah 2019wacemacademiccollegeofemergencyexpertsconsensusrecommendationsonadmissioncriteriatopediatricintensivecareunitfromtheemergencydepartmentsinindia AT nitinchawla 2019wacemacademiccollegeofemergencyexpertsconsensusrecommendationsonadmissioncriteriatopediatricintensivecareunitfromtheemergencydepartmentsinindia AT ajaysingh 2019wacemacademiccollegeofemergencyexpertsconsensusrecommendationsonadmissioncriteriatopediatricintensivecareunitfromtheemergencydepartmentsinindia AT arunbaranawal 2019wacemacademiccollegeofemergencyexpertsconsensusrecommendationsonadmissioncriteriatopediatricintensivecareunitfromtheemergencydepartmentsinindia AT shivakumarshamarao 2019wacemacademiccollegeofemergencyexpertsconsensusrecommendationsonadmissioncriteriatopediatricintensivecareunitfromtheemergencydepartmentsinindia AT raghavendravanaki 2019wacemacademiccollegeofemergencyexpertsconsensusrecommendationsonadmissioncriteriatopediatricintensivecareunitfromtheemergencydepartmentsinindia AT prashantmahajan 2019wacemacademiccollegeofemergencyexpertsconsensusrecommendationsonadmissioncriteriatopediatricintensivecareunitfromtheemergencydepartmentsinindia AT reenapatel 2019wacemacademiccollegeofemergencyexpertsconsensusrecommendationsonadmissioncriteriatopediatricintensivecareunitfromtheemergencydepartmentsinindia AT vivekchauhan 2019wacemacademiccollegeofemergencyexpertsconsensusrecommendationsonadmissioncriteriatopediatricintensivecareunitfromtheemergencydepartmentsinindia AT prernabatra 2019wacemacademiccollegeofemergencyexpertsconsensusrecommendationsonadmissioncriteriatopediatricintensivecareunitfromtheemergencydepartmentsinindia AT abhijeetsaha 2019wacemacademiccollegeofemergencyexpertsconsensusrecommendationsonadmissioncriteriatopediatricintensivecareunitfromtheemergencydepartmentsinindia AT sagargalwankar 2019wacemacademiccollegeofemergencyexpertsconsensusrecommendationsonadmissioncriteriatopediatricintensivecareunitfromtheemergencydepartmentsinindia AT santoshsoans 2019wacemacademiccollegeofemergencyexpertsconsensusrecommendationsonadmissioncriteriatopediatricintensivecareunitfromtheemergencydepartmentsinindia |
_version_ |
1724777785955713024 |