{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,13]],"date-time":"2025-05-13T21:59:28Z","timestamp":1747173568944,"version":"3.40.5"},"reference-count":32,"publisher":"Cambridge University Press (CUP)","issue":"8","license":[{"start":{"date-parts":[[2020,6,23]],"date-time":"2020-06-23T00:00:00Z","timestamp":1592870400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cardiol Young"],"published-print":{"date-parts":[[2020,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S104795112000164X_as1\" sec-type=\"other\"><jats:title>Objective:<\/jats:title><jats:p>To determine the Final ICU Need in the 24 hours prior to ICU discharge for children with cardiac disease by utilising a single-centre survey.<\/jats:p><\/jats:sec><jats:sec id=\"S104795112000164X_as2\" sec-type=\"other\"><jats:title>Methods:<\/jats:title><jats:p>A cross-sectional survey was utilised to determine Final ICU Need, which was categorised as \u201cCardiovascular\u201d, \u201cRespiratory\u201d, \u201cFeeding\u201d, \u201cSedation\u201d, \u201cSystems Issue\u201d, or \u201cOther\u201d for each encounter. Survey responses were obtained from attending physicians who discharged children (\u226418 years of age with ICU length of stay &gt;24 hours) from the Cardiac ICU between April 2016 and July 2018.<\/jats:p><\/jats:sec><jats:sec id=\"S104795112000164X_as3\" sec-type=\"other\"><jats:title>Measurements and results:<\/jats:title><jats:p>Survey response rate was 99% (n = 1073), with 667 encounters eligible for analysis. \u201cCardiovascular\u201d (61%) and \u201cRespiratory\u201d (26%) were the most frequently chosen Final ICU Needs. From a multivariable mixed effects logistic regression model fitted to \u201cCardiovascular\u201d and \u201cRespiratory\u201d, operations with significantly reduced odds of having \u201cCardiovascular\u201d Final ICU Need included Glenn palliation (p = 0.003), total anomalous pulmonary venous connection repair (p = 0.024), truncus arteriosus repair (p = 0.044), and vascular ring repair (p &lt; 0.001). Short lengths of stay (&lt;7.9 days) had significantly higher odds of \u201cCardiovascular\u201d Final ICU Need (p &lt; 0.001). \u201cCardiovascular\u201d and \u201cRespiratory\u201d Final ICU Needs were also associated with provider and ICU discharge season.<\/jats:p><\/jats:sec><jats:sec id=\"S104795112000164X_as4\" sec-type=\"other\"><jats:title>Conclusions:<\/jats:title><jats:p>Final ICU Need is a novel metric to identify variations in Cardiac ICU utilisation and clinical trajectories. Final ICU Need was significantly influenced by benchmark operation, length of stay, provider, and season. Future applications of Final ICU Need include targeting quality and research initiatives, calibrating provider and family expectations, and identifying provider-level variability in care processes and mental models.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s104795112000164x","type":"journal-article","created":{"date-parts":[[2020,6,23]],"date-time":"2020-06-23T08:05:53Z","timestamp":1592899553000},"page":"1109-1117","source":"Crossref","is-referenced-by-count":0,"title":["The final reason paediatric Cardiac ICU patients require care prior to discharge to the floor: a single-centre survey"],"prefix":"10.1017","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4356-2957","authenticated-orcid":false,"given":"Melissa M.","family":"Winder","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zhining","family":"Ou","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Angela 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