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Characteristics of Medically Transported Critically Ill Children with Respiratory Failure in Latin America:

Jesus A Serra1, Franco Díaz2,3, Pablo Cruces2,4

  • 1Division of Pediatric Intensive Care, Department of Pediatrics, Casa de Galicia, Montevideo, Uruguay.

Journal of Pediatric Intensive Care
|August 22, 2022
PubMed

Insights

Transporting critically ill children with acute respiratory failure in Latin America presents challenges. Nonurban transfers were linked to higher mortality risks in this study of pediatric intensive care units.

Area of Science:

  • Pediatric critical care medicine
  • Global health
  • Epidemiology

Background:

  • Referral and transport of critically ill children in resource-limited settings face significant challenges.
  • Limited data exist on factors influencing clinical outcomes for these vulnerable pediatric populations.

Purpose of the Study:

  • To characterize critically ill children in Latin America admitted to pediatric intensive care units (PICUs) for acute respiratory failure.
  • To identify risk factors associated with mortality in this cohort.

Main Methods:

  • Analysis of data from 2,692 patients in the Pediatric Collaborative Network of Latin America Acute Respiratory Failure Registry.
  • Inclusion of 28 participating centers across Latin America.
  • Focus on patients transferred from other facilities.

Main Results:

  • Nonurban transport was independently associated with increased mortality among referred patients (aOR=9.4; 95% CI: 2.4-36.3).
  • Data analyzed from 2,692 pediatric patients with acute respiratory failure.
  • Study included 773 patients referred from external facilities.

Conclusions:

  • Nonurban transport is a significant risk factor for mortality in critically ill children with acute respiratory failure requiring PICU transfer in Latin America.
  • Findings highlight the need for improved transport strategies in resource-limited regions.
  • Further research is warranted to optimize pediatric critical care transport systems.

Keywords:
Latin Americacritical illnesshospitalsmortalitypatient transferurban

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