Current Status of Pediatric Critical Care in Korea: Results of 2015 National Survey
The aim of this study was to describe the structure, organization, management, and staffing of pediatric critical care (PCC) in Korea. We directed a questionnaire survey for all Upper Grade General Hospitals (n = 43) in Korea in 2015. The first questionnaire was mainly about structure, organization,...
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| Published in | Journal of Korean Medical Science Vol. 33; no. 49; pp. e308 - 10 |
|---|---|
| Main Authors | , , , , , , , , , , , , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
Korea (South)
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01.12.2018
The Korean Academy of Medical Sciences 대한의학회 |
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| ISSN | 1011-8934 1598-6357 1598-6357 |
| DOI | 10.3346/jkms.2018.33.e308 |
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| Abstract | The aim of this study was to describe the structure, organization, management, and staffing of pediatric critical care (PCC) in Korea.
We directed a questionnaire survey for all Upper Grade General Hospitals (n = 43) in Korea in 2015. The first questionnaire was mainly about structure, organization, and staffing and responses were obtained from 32 hospitals. The second questionnaire was mainly about patients and management. Responses to second questionnaire were obtained from 18 hospitals.
Twelve from 32 Upper Grade General Hospitals had pediatric intensive care units (PICUs) and 11 of them had the PICU which was exclusive for children. Total number of PICU beds in Korea was 113. The ratio of the number of PICU beds to the number of children was 1:77,460 in Korea and this ratio is lower than that of other developed countries. The mean number of beds in the PICUs was 9.4 ± 9.3 (range, 2-30). There were 16 medical doctors who were assigned for PCC and only 5 of them were full time pediatric intensivists. In the 18 Upper Grade General Hospitals that responded to the second questionnaire survey, there were 97 patients in the PICUs with an average number of 5.7 ± 7.2 (range, 0-22) on the survey day. The mean age of the patients was 3.4 ± 5.6 years. The mean length of hospital stay was 82 ± 271 days. The mean Pediatric Risk of Mortality score III was 9.4 ± 7.8 at the time of admission to the PICUs.
There is a considerable shortage of PICU beds compared to those in developed countries. In addition, the proportion of PICUs with PCC specialists is much lower than those in the US and European countries. |
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| AbstractList | Background: The aim of this study was to describe the structure, organization, management, and staffing of pediatric critical care (PCC) in Korea.
Methods: We directed a questionnaire survey for all Upper Grade General Hospitals (n = 43) in Korea in 2015. The first questionnaire was mainly about structure, organization, and staffing and responses were obtained from 32 hospitals. The second questionnaire was mainly about patients and management. Responses to second questionnaire were obtained from 18 hospitals.
Results: Twelve from 32 Upper Grade General Hospitals had pediatric intensive care units (PICUs) and 11 of them had the PICU which was exclusive for children. Total number of PICU beds in Korea was 113. The ratio of the number of PICU beds to the number of children was 1:77,460 in Korea and this ratio is lower than that of other developed countries. The mean number of beds in the PICUs was 9.4 ± 9.3 (range, 2–30). There were 16 medical doctors who were assigned for PCC and only 5 of them were full time pediatric intensivists. In the 18 Upper Grade General Hospitals that responded to the second questionnaire survey, there were 97 patients in the PICUs with an average number of 5.7 ± 7.2 (range, 0–22) on the survey day. The mean age of the patients was 3.4 ± 5.6 years. The mean length of hospital stay was 82 ± 271 days. The mean Pediatric Risk of Mortality score III was 9.4 ± 7.8 at the time of admission to the PICUs.
Conclusion: There is a considerable shortage of PICU beds compared to those in developed countries. In addition, the proportion of PICUs with PCC specialists is much lower than those in the US and European countries. KCI Citation Count: 0 The aim of this study was to describe the structure, organization, management, and staffing of pediatric critical care (PCC) in Korea.BACKGROUNDThe aim of this study was to describe the structure, organization, management, and staffing of pediatric critical care (PCC) in Korea.We directed a questionnaire survey for all Upper Grade General Hospitals (n = 43) in Korea in 2015. The first questionnaire was mainly about structure, organization, and staffing and responses were obtained from 32 hospitals. The second questionnaire was mainly about patients and management. Responses to second questionnaire were obtained from 18 hospitals.METHODSWe directed a questionnaire survey for all Upper Grade General Hospitals (n = 43) in Korea in 2015. The first questionnaire was mainly about structure, organization, and staffing and responses were obtained from 32 hospitals. The second questionnaire was mainly about patients and management. Responses to second questionnaire were obtained from 18 hospitals.Twelve from 32 Upper Grade General Hospitals had pediatric intensive care units (PICUs) and 11 of them had the PICU which was exclusive for children. Total number of PICU beds in Korea was 113. The ratio of the number of PICU beds to the number of children was 1:77,460 in Korea and this ratio is lower than that of other developed countries. The mean number of beds in the PICUs was 9.4 ± 9.3 (range, 2-30). There were 16 medical doctors who were assigned for PCC and only 5 of them were full time pediatric intensivists. In the 18 Upper Grade General Hospitals that responded to the second questionnaire survey, there were 97 patients in the PICUs with an average number of 5.7 ± 7.2 (range, 0-22) on the survey day. The mean age of the patients was 3.4 ± 5.6 years. The mean length of hospital stay was 82 ± 271 days. The mean Pediatric Risk of Mortality score III was 9.4 ± 7.8 at the time of admission to the PICUs.RESULTSTwelve from 32 Upper Grade General Hospitals had pediatric intensive care units (PICUs) and 11 of them had the PICU which was exclusive for children. Total number of PICU beds in Korea was 113. The ratio of the number of PICU beds to the number of children was 1:77,460 in Korea and this ratio is lower than that of other developed countries. The mean number of beds in the PICUs was 9.4 ± 9.3 (range, 2-30). There were 16 medical doctors who were assigned for PCC and only 5 of them were full time pediatric intensivists. In the 18 Upper Grade General Hospitals that responded to the second questionnaire survey, there were 97 patients in the PICUs with an average number of 5.7 ± 7.2 (range, 0-22) on the survey day. The mean age of the patients was 3.4 ± 5.6 years. The mean length of hospital stay was 82 ± 271 days. The mean Pediatric Risk of Mortality score III was 9.4 ± 7.8 at the time of admission to the PICUs.There is a considerable shortage of PICU beds compared to those in developed countries. In addition, the proportion of PICUs with PCC specialists is much lower than those in the US and European countries.CONCLUSIONThere is a considerable shortage of PICU beds compared to those in developed countries. In addition, the proportion of PICUs with PCC specialists is much lower than those in the US and European countries. The aim of this study was to describe the structure, organization, management, and staffing of pediatric critical care (PCC) in Korea. We directed a questionnaire survey for all Upper Grade General Hospitals (n = 43) in Korea in 2015. The first questionnaire was mainly about structure, organization, and staffing and responses were obtained from 32 hospitals. The second questionnaire was mainly about patients and management. Responses to second questionnaire were obtained from 18 hospitals. Twelve from 32 Upper Grade General Hospitals had pediatric intensive care units (PICUs) and 11 of them had the PICU which was exclusive for children. Total number of PICU beds in Korea was 113. The ratio of the number of PICU beds to the number of children was 1:77,460 in Korea and this ratio is lower than that of other developed countries. The mean number of beds in the PICUs was 9.4 ± 9.3 (range, 2-30). There were 16 medical doctors who were assigned for PCC and only 5 of them were full time pediatric intensivists. In the 18 Upper Grade General Hospitals that responded to the second questionnaire survey, there were 97 patients in the PICUs with an average number of 5.7 ± 7.2 (range, 0-22) on the survey day. The mean age of the patients was 3.4 ± 5.6 years. The mean length of hospital stay was 82 ± 271 days. The mean Pediatric Risk of Mortality score III was 9.4 ± 7.8 at the time of admission to the PICUs. There is a considerable shortage of PICU beds compared to those in developed countries. In addition, the proportion of PICUs with PCC specialists is much lower than those in the US and European countries. |
| Author | Jae Hee Chung Yu Hyeon Choi Yoon Hee Kim Kyung Won Kim Young Yoo Hwa Jin Cho Jeong Min Ryu June Dong Park Won Kyoung Jhang Joongbum Cho Hong Ju Shin Jong-seo Yoon Byung Wook Eun June Huh Bongjin Lee Seong Jong Park Jintae Kim |
| AuthorAffiliation | 12 Department of Surgery, The Catholic University of Korea College of Medicine, Seoul, Korea 8 Department of Anesthesiology and Pain Medicine, Seoul National University College of Medicine, Seoul, Korea 3 Department of Pediatrics, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea 11 Department of Emergency Medicine, University of Ulsan College of Medicine, Seoul, Korea 1 Department of Pediatrics, The Catholic University of Korea College of Medicine, Seoul, Korea 9 Department of Critical Care Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea 2 Department of Pediatrics, University of Ulsan College of Medicine, Seoul, Korea 14 Department of Pediatrics, Sungkyunkwan University School of Medicine, Seoul, Korea 6 Department of Pediatrics, Chonnam National University Medical School, Gwangju, Korea 5 Department of Pediatrics, Yonsei University College of Medicine, Seoul, Korea 7 Department of Pediatrics, Eulji Univers |
| AuthorAffiliation_xml | – name: 11 Department of Emergency Medicine, University of Ulsan College of Medicine, Seoul, Korea – name: 7 Department of Pediatrics, Eulji University School of Medicine, Seoul, Korea – name: 4 Department of Pediatrics, Chungnam National University College of Medicine, Daejeon, Korea – name: 10 Department of Thoracic and Cardiovascular Surgery, Korea University College of Medicine, Ansan, Korea – name: 1 Department of Pediatrics, The Catholic University of Korea College of Medicine, Seoul, Korea – name: 12 Department of Surgery, The Catholic University of Korea College of Medicine, Seoul, Korea – name: 8 Department of Anesthesiology and Pain Medicine, Seoul National University College of Medicine, Seoul, Korea – name: 3 Department of Pediatrics, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea – name: 14 Department of Pediatrics, Sungkyunkwan University School of Medicine, Seoul, Korea – name: 5 Department of Pediatrics, Yonsei University College of Medicine, Seoul, Korea – name: 9 Department of Critical Care Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea – name: 13 Department of Pediatrics, Korea University College of Medicine, Seoul, Korea – name: 2 Department of Pediatrics, University of Ulsan College of Medicine, Seoul, Korea – name: 6 Department of Pediatrics, Chonnam National University Medical School, Gwangju, Korea |
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| Cites_doi | 10.1016/S0140-6736(00)02622-2 10.3906/sag-1307-102 10.1007/978-3-642-80227-0_11 10.1542/peds.2004-1920 10.1007/s001340050321 10.1203/01.PDR.0000182822.16263.3D 10.1136/adc.70.5.391 10.1097/PCC.0000000000000938 10.1186/s13054-015-1054-y 10.1016/S0749-0704(18)30265-3 10.1007/s00134-002-1532-y 10.1136/adc.73.6.505 10.1001/jama.288.17.2151 |
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| Contributor | Jae Hee Chung Yu Hyeon Choi Yoon Hee Kim Kyung Won Kim Young Yoo Hwa Jin Cho Jeong Min Ryu June Dong Park Kim, Kyung Won Won Kyoung Jhang Joongbum Cho Hong Ju Shin Jong-seo Yoon Byung Wook Eun June Huh Bongjin Lee Seong Jong Park Jintae Kim |
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We directed a... The aim of this study was to describe the structure, organization, management, and staffing of pediatric critical care (PCC) in Korea.BACKGROUNDThe aim of this... Background: The aim of this study was to describe the structure, organization, management, and staffing of pediatric critical care (PCC) in Korea. Methods: We... |
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| SubjectTerms | Child Child, Preschool Critical Care Critical Care - organization & administration Critical Care - statistics & numerical data Female Hospitals, General Humans Infant Infant, Newborn Intensive Care Units, Pediatric Length of Stay Male Original Original Article Pediatric Questionnaire Republic of Korea Survey Surveys and Questionnaires 의학일반 |
| Title | Current Status of Pediatric Critical Care in Korea: Results of 2015 National Survey |
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