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Merging Two Hospitals: The Effects on Pediatric Extracorporeal Cardiopulmonary Resuscitation Outcomes.

Rebecca Anderson de la LlanaRenate Le MarsneyKristen GibbonsBenjamin AndersonEmma HaiszKerry JohnsonAnthony BlackPrem Sundar VenugopalAdrian Christian Mattke
Published in: Journal of pediatric intensive care (2020)
In this article, a retrospective study was performed to describe the impact of merging two pediatric intensive care units on the overall and neurocognitive outcomes of children who required extracorporeal cardiopulmonary resuscitation (ECPR). Results from three cohorts were compared: 2008 to 2014: premerge, 2014 to 2017: initial time period postmerge, and 2018 to 2019: established merge. Survival to hospital discharge (and with good neurological outcome) was of 68% (61%), 46% (36%), and 79% (71%), respectively, for the three time periods. Merging two hospitals resulted in a nonsignificant trend toward temporary worse outcomes in pediatric patients requiring ECPR.
Keyphrases
  • cardiopulmonary resuscitation
  • cardiac arrest
  • intensive care unit
  • healthcare
  • adipose tissue
  • type diabetes
  • bipolar disorder
  • insulin resistance
  • subarachnoid hemorrhage