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dc.contributor.authorAyar, Ganime
dc.contributor.authorYazici, Mutlu Uysal
dc.contributor.authorSahin, Sanliay
dc.contributor.authorGunduz, Ramiz C.
dc.contributor.authorYakut, Halil, I
dc.contributor.authorAkman, Alkim Oden
dc.contributor.authorKalkan, Gokhan
dc.date.accessioned2021-06-09T06:05:40Z
dc.date.available2021-06-09T06:05:40Z
dc.date.issued2019
dc.identifier.issn0325-0075
dc.identifier.urihttp://dx.doi.org/10.5546/aap.2019.eng.120
dc.identifier.urihttp://hdl.handle.net/11655/24830
dc.description.abstractIntroduction. Recent improvements in pediatric intensive care units (PICUs) were achieved through trained personnel and better technology, leading to an increase in patient care, survival rates and good prognosis. Nevertheless the quality of care varies according to the availability of human and technical resources. Objective. The aim was to determine the correlation of mortality rates with daytime shifts compared to other shift periods (off-hours). Methods. Work hours were defined as week days between 8: 00 a.m. and 5: 00 p.m., with in-house attendance of senior staff, and off-hours as week days between 5: 00 p.m. and 8: 00 a.m., weekends and public holidays, with one resident covering the PICU and senior staff directly available only on-call. Mortality causes in children hospitalized in the intensive care unit were classified. Results. During this period, a total of 2,187 patients were hospitalized in the PICU. A total of 394 patients died; 151 were girls (38.3 %) and 243 boys (61.7 %). Evaluating time of mortality showed that death occurred mostly at out-off hours: 244 (61.9 %) vs. 150 (38.1 %) during the daytime shift, which was statistically significant (p < 0.05). In addition, age, gender and the length of stay in the PICU were not significant (p > 0.05) when daytime was compared to out-off hours. The conditions which accompanied death were evaluated, the relationship between working hours and death was also significant (p < 0.05). More conditions related to mortality were encountered at off-hours. Conclusion. Off-hours without 24 hour attendance of senior staff, was associated with higher mortality.
dc.language.isoen
dc.relation.isversionof10.5546/aap.2019.eng.120
dc.rightsAttribution 4.0 United States
dc.rightsinfo:eu-repo/semantics/openAccess
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/
dc.subjectchild
dc.subjectintensive care unit
dc.subjectmortality
dc.subjectafter-hours care
dc.subjectcritical ill
dc.subjectpediatric
dc.titleSix Year Mortality Profile Of A Pediatric Intensive Care Unit: Association Between Out-Of-Hours And Mortality
dc.typeinfo:eu-repo/semantics/article
dc.typeinfo:eu-repo/semantics/publishedVersion
dc.relation.journalArchivos Argentinos De Pediatria
dc.contributor.departmentİstatistik
dc.identifier.volume117
dc.identifier.issue2
dc.description.indexWoS


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Attribution 4.0 United States
Except where otherwise noted, this item's license is described as Attribution 4.0 United States