The Clinical Impact of Pediatric Pulmonologist Involvement in Intensive Care Units: Bridging Expertise and Outcomes.

IF 2.6 3区医学 Q2 RESPIRATORY SYSTEM

Respiration Pub Date : 2026-04-10 DOI:10.1159/000551707

Satı Özkan Tabakçı, Murat Alperan Yavuz, Murat Yasin Gençoğlu, Salih Uytun, Şule Selin Akyan Soydaş, Işıl Bilgiç, Meltem Kürtül Çakar, Gamze Akça Dinç, Ayyüce Ünlü, Bahar Ece Tokdemir, Hande Yetişgin, Çelebi Yıldırım, Gökçen Dilşa Tuğcu, Sanem Eryılmaz Polat, Dilber Ademhan Tural, Güzin Cinel

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引用次数: 0

Abstract

Introduction: Respiratory illnesses are a major cause of mortality and morbidity in pediatric and neonatal intensive care units (ICUs). This study aimed to determine the impact of pediatric pulmonologist (PP) consultation on children in ICUs and assess differences in clinical outcomes.

Methods: This single-center, retrospective, cross-sectional cohort study included children aged 0-18 years for whom PP consultations were requested between June 2022 and June 2023. Children were divided into two groups based on the median time from ICU admission to the consultation request. Group 1 (n = 221) received consultations within 14 days, defined as early consultation, while group 2 (n = 66) received consultations after 14 days, defined as late consultation. We compared demographic, clinical, and radiologic characteristics and the length of stay (LOS) in the hospital, ICU, and mechanical ventilator (MV).

Results: Two hundred eighty-seven children were consulted by PPs. The most common reasons for the PP consultation were respiratory failure (39.4%), preoperative evaluation (14.6%), pneumonia (8.7%), atelectasis (5.9%), and suspicion of foreign body aspiration (5.6%). The median LOS in the hospital was 33 (IQR = 61) days, in the ICU was 13 (IQR = 33) days, and on the MV was 10.50 (IQR = 30.50) days. Group 1 had significantly lower LOS in the hospital, ICU, and MV than group 2 (p < 0.001 for all). We found that being monitored on an MV (p < 0.001), being consulted for prolonged intubation or respiratory failure (p < 0.001), and being consulted by a PP after a median of 14 days are the main contributors to prolonged ICU LOS.

Conclusions: Early PP consultation for children treated in the PICU and NICU may be associated with better outcomes. Nevertheless, the retrospective nature of our study, the lack of risk scoring data for patients, and the numerous factors that can influence the LOS in the ICU and hospital for pediatric patients necessitate further comprehensive research to substantiate our findings.

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儿科肺科医生参与重症监护病房的临床影响：衔接专业知识和结果。

简介：呼吸系统疾病是儿童和新生儿重症监护病房（icu）死亡率和发病率的主要原因。本研究旨在确定儿科肺科医生（PP）咨询对icu儿童的影响，并评估临床结果的差异。方法：这项单中心、回顾性、横断面队列研究纳入了在2022年6月至2023年6月期间要求进行PP咨询的0-18岁儿童。根据从ICU入院到咨询请求的中位时间将患儿分为两组。第1组（n=221）在14天内就诊，定义为早期就诊；第2组（n=66）在14天内就诊，定义为晚期就诊。我们比较了人口学、临床和放射学特征以及在医院、ICU和机械呼吸机（MV）的住院时间（LOS）。结果：PPs共咨询了287例患儿。PP咨询最常见的原因是呼吸衰竭（39.4%）、术前评估（14.6%）、肺炎（8.7%）、肺不张（5.9%）和怀疑异物吸入（5.6%）。住院的平均生存时间为33 （IQR=61）天，ICU的平均生存时间为13 （IQR=33）天，MV的平均生存时间为10.50 （IQR=30.50）天。1组在医院、ICU和MV中的LOS明显低于2组(结论：PICU和NICU治疗的儿童早期PP咨询可能与更好的预后相关。然而，我们的研究是回顾性的，缺乏患者的风险评分数据，以及影响儿科患者在ICU和医院住院时间的众多因素，需要进一步的综合研究来证实我们的发现。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Respiration 医学-呼吸系统

CiteScore

7.30

自引率

5.40%

发文量

审稿时长

4-8 weeks

期刊介绍： ''Respiration'' brings together the results of both clinical and experimental investigations on all aspects of the respiratory system in health and disease. Clinical improvements in the diagnosis and treatment of chest and lung diseases are covered, as are the latest findings in physiology, biochemistry, pathology, immunology and pharmacology. The journal includes classic features such as editorials that accompany original articles in clinical and basic science research, reviews and letters to the editor. Further sections are: Technical Notes, The Eye Catcher, What’s Your Diagnosis?, The Opinion Corner, New Drugs in Respiratory Medicine, New Insights from Clinical Practice and Guidelines. ''Respiration'' is the official journal of the Swiss Society for Pneumology (SGP) and also home to the European Association for Bronchology and Interventional Pulmonology (EABIP), which occupies a dedicated section on Interventional Pulmonology in the journal. This modern mix of different features and a stringent peer-review process by a dedicated editorial board make ''Respiration'' a complete guide to progress in thoracic medicine.