Dec 3, 2018 - Revised (MDS-R) questionnaire; Trauma Screening Questionnaire (TSQ) ... cant range for PTS symptoms (TSQ); significant number reported ...
More deaths than expected occurred amongst the patients admitted with gestational age 31–34 weeks (95% confidence interval 1.07 – 1.73). SMR for the other groups lie within the 95% confidence interval. Conclusions The PIM score may underestimate morality for preterm neonates admitted to a UK PICU with a gestational age of 31–34 weeks. Our analysis does not support the hypothesis that PIM score performs increasingly poorly with increasing prematurity. However, the numbers of patients in each group remains small and the data was taken from a single UK center. Confirming this observation is important in order for ICUs that admit preterm children to confidently use PIM scoring to assess their performance.
P-325 Downloaded from https://journals.lww.com/pccmjournal by BhDMf5ePHKav1zEoum1tQfN4a+kJLhEZgbsIHo4XMi0hCywCX1AWnYQp/IlQrHD3RQIKUrpuF/+XRqmCK4l7eS24mvwOgXu2tPODVPb4udw= on 12/03/2018
MORAL DISTRESS, TRAUMA AND BURNOUT IN STAFF IN RELATION TO CHANGES IN PICU OUTCOMES, CHALLENGING CASES AND MEDIA INVOLVEMENT IN DISAGREEMENTS ABOUT END-OF-LIFE CARE.
J. Brierley1, M. Rutt1, Z. Berger2, P. Titman3, G. Colville4 Great Ormond St, Paediatric Intensive Care/Neonatal Intensive Care, London, United Kingdom 2 Great Ormond St, Psychology Department, London, United Kingdom 3 Great Ormond St, Psychology Dept, London, United Kingdom 4 St Georges University Hospital- London, Psychology Dept, London, United Kingdom
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Aims & Objectives: Guidelines have evolved from previously recommending hypotonic intravenous (IV) fluids, to isotonic fluids as the solutions of choice in children. We hypothesized that this change in practice is associated with the emergence of hyperchloremic metabolic acidosis (HCMA). The objective of this study was to evaluate current IV fluid prescription practices and determine the prevalence of HCMA in children within the first 72 hours of Pediatric Intensive Care Unit (PICU) admission. Methods Retrospective study at McMaster and Stollery Children’s Hospital PICUs. Children under 18 years admitted to the PICU between January 2015 – January 2016 who received over 50% of their maintenance fluids parenterally, were included. We defined HCMA as serum chloride >107 mmol/L associated with serum pH
