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Optimising Paediatric Transition to Intensive Care for Adults (OPTICAL): study protocol for a mixed method study.

Qi Huang1, Charmaine Kohn2, Sue Ben Abraham3

  • 1University College London Clinical Operational Research Unit, London, UK qi_huang@ucl.ac.uk.

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Summary

Improving intensive care unit (ICU) transitions for teenagers and young adults (TYA) with complex conditions is crucial. This study will analyze UK data and patient experiences to inform evidence-based policy for better TYA critical care.

Keywords:
AdolescentAdult intensive & critical carePaediatric intensive & critical care

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Area of Science:

  • Critical Care Medicine
  • Health Services Research
  • Paediatric to Adult Transition

Background:

  • Teenagers and young adults (TYA) with chronic conditions face challenges transitioning to adult intensive care units (ICUs).
  • Existing adult ICU services are often ill-equipped for TYA, risking compromised care.
  • Current UK guidelines for ICU transition lack an evidence base, with limited established pathways.

Purpose of the Study:

  • To generate evidence for national policy on paediatric to adult ICU transition.
  • To improve clinical care and patient experience for TYA in ICUs.
  • To address the limitations of current, non-evidence-based transition recommendations.

Main Methods:

  • Mixed-methods study combining UK national data analysis (2017-2024) on ICU admissions and healthcare utilization.
  • Semistructured interviews, online forums, and surveys with TYA patients, carers, and health professionals.
  • Synthesis of evidence and stakeholder engagement to propose targeted improvements.

Main Results:

  • Analysis of UK national data (2017-2024) to identify clinical characteristics and healthcare resource utilization of TYA in ICUs.
  • Understanding of TYA and professional experiences of ICU transition through qualitative data collection.
  • Development of evidence-based recommendations for improving ICU transition pathways.

Conclusions:

  • This research will provide crucial evidence to inform national policy for TYA ICU transitions.
  • Findings aim to enhance the quality of care and patient experience during critical care.
  • The study addresses an urgent need for evidence-based guidelines in this specialized area of critical care.