Morbidity: Changing the Outcome Paradigm for Pediatric Critical Care

Morbidity: Changing the Outcome Paradigm for Pediatric Critical Care

Heneghan JA; Pollack M

10.1016/j.pcl.2017.06.011

Pediatric Clinics Of North America

2017

Critical Care; Functional Status; Morbidity; Outcomes; Outcomes Research; Pediatric Critical Care; Pediatric Intensive Care; Quality

The focus of critical care has evolved from saving lives to preservation of function. Morbidity rates in pediatric critical care are approximately double mortality rates. Morbidity includes complications of disease and medical care. In pediatric critical care, functional status morbidity is an intermediate outcome in the progression toward death and is the result of the same factors associated with mortality, including physiologic profiles and case-mix factors. The Functional Status Scale developed by Collaborative Pediatric Critical Care Research Network is a validated, granular, age-independent measure of functional status that has proved valuable and practical even in large outcome studies.

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November 2017 List