Strain in the Pediatric Intensive Care Unit and its Association with Patient Outcomes.

ABSTRACT: Objective: To characterize measures of pediatric intensive care unit (PICU) strain and test for associations between strain and patient outcomes. We hypothesized that periods of increased strain would be associated with increased odds of experiencing a post-ICU floor escalation event. Design: Retrospective cohort study. Setting: Quaternary care children's hospital PICU. Study Population: PICU admissions (2014-2023). Interventions: None. Measurements and Main Results: We measured PICU strain metrics daily including percent occupancy, percent turnover, and acuity. Percent occupancy and turnover were higher during annual peak viral season versus non-peak season (percent occupancy: median 84.4 [interquartile range (IQR) 72.9, 91.7] versus 68.8 [IQR 56.

SUBMITTER: Baker MS 

PROVIDER: S-EPMC12706758 | biostudies-literature | 2025 Sep

REPOSITORIES: biostudies-literature