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Pediatric Neurocritical Care: A Short Survey of Current Perceptions and Practices

Sarah A Murphy1, Michael J Bell, Maureen E Clark

  • 1Pediatric Critical Care Offices, MassGeneral Hospital for Children, 175 Cambridge Street, CPZ5, Rm 526, Boston, MA, 02114, USA, samurphy@partners.org.

Neurocritical Care
|February 20, 2015
PubMed

Insights

Pediatric neurocritical care (PNCC) services are emerging, with 20% of surveyed institutions having them. While support exists for PNCC training pathways, consensus on its overall value and optimal role remains elusive among practitioners.

Area of Science:

  • Pediatric critical care medicine
  • Pediatric neurology
  • Neurocritical care

Background:

  • Pediatric neurocritical care (PNCC) is a recently recognized sub-specialty within pediatric critical care.
  • Little is known about the prevalence of specialized PNCC services and their impact on medical practice.
  • This study surveyed practitioners across pediatric intensive care, neurology, and neurosurgery to gauge perceptions of PNCC.

Purpose of the Study:

  • To assess the prevalence of specialized pediatric neurocritical care services.
  • To understand practitioner perceptions regarding the value and impact of PNCC.
  • To explore support for formalizing PNCC training pathways.

Main Methods:

  • A web-based survey was distributed to members of relevant professional societies.
  • Responses were analyzed using descriptive statistics.
  • Chi-squared analysis was used to compare responses between different professional groups.

Main Results:

  • Twenty percent of respondents reported having a specialized PNCC service at their institution.
  • Forty-six percent believed PNCC services improve care quality for critically ill children, but consensus was lacking.
  • Support for PNCC sub-specialization and training pathways was higher among pediatric neurologists and neurosurgeons than intensivists.

Conclusions:

  • PNCC programs are increasingly common, yet agreement on their optimal role and benefits is not established.
  • Further dialogue is needed on PNCC's benefits, drawbacks, economic factors, and organizational models.
  • Formalization of training and certification pathways for PNCC sub-specialization requires consideration.
Abstract

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