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Paediatric Psychiatry Admissions to Critical Care
1Paediatric Intensive Care Unit, Children's Health Ireland at Crumlin Hospital, Dublin, Ireland.
Irish Medical Journal
|May 9, 2022
Summary
Paediatric psychiatry patients admitted to the Paediatric Intensive Care Unit (PICU) were few but presented significant challenges. Self-harm, psychosis, and eating disorders were key reasons for PICU admission.
Area of Science:
- Pediatric critical care medicine
- Child and adolescent psychiatry
Background:
- Children and adolescents with severe psychiatric or behavioral disorders may require Paediatric Intensive Care Unit (PICU) admission.
- Understanding the scope and reasons for these admissions is crucial for resource allocation and care planning.
Purpose of the Study:
- To determine the number of pediatric psychiatry patients admitted to the PICU.
- To identify the primary indications for these PICU admissions.
Main Methods:
- A retrospective review of patient information system data was conducted.
- Patients admitted with a psychiatric presentation were identified and analyzed.
Main Results:
- Fifteen pediatric psychiatry patients were admitted to the PICU during the study period.
- The majority of admissions occurred on weekends (66%) and after 5 pm (80%).
- Common admitting diagnoses included self-harm (46%), psychosis (33%), and eating disorders (20%).
Conclusions:
- While the number of pediatric psychiatry admissions to the PICU is small, these cases pose significant challenges to staff and resources.
- There is a clear need for a defined governance structure and care pathway for these vulnerable patients.
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