{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,2]],"date-time":"2026-02-02T03:34:00Z","timestamp":1770003240982,"version":"3.49.0"},"reference-count":39,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2026,1,2]],"date-time":"2026-01-02T00:00:00Z","timestamp":1767312000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,1,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>The pediatric intensive care unit (PICU) at the Academic Hospital Paramaribo (AHP), operational since 2017, is the only tertiary referral center for critically ill children in Suriname. This study aims to describe the clinical and demographic characteristics and outcomes of critically ill children treated in the PICU over 2\u2009years, and to assess risk factors associated with mortality during PICU admission. A retrospective study of admissions from children 16\u2009years and younger admitted to the PICU of the AHP between January 1, 2021, and December 31, 2022. During the study period, 424 PICU admissions were included, of which 91% were acute and unplanned. The most frequent medical reasons for admission were convulsions (8.5%), pneumonia\/lung abscess\/empyema (7.5%), and bronchiolitis (7.3%). One hundred thirty-six admissions (32.0%) received mechanical ventilation, and 104 (24.5%) required inotropes. The median PICU stay was 3\u2009days (interquartile range 0\u20136), with a mortality rate of 12.0%. In the multivariate analysis, only male gender, mechanical ventilation, and inotropes were associated with increased risk of death. The results of this benchmarking study can ultimately serve as a valuable resource for policy-makers and important stakeholders in the process of improving the care provided to critically ill children in Suriname.<\/jats:p>","DOI":"10.1093\/tropej\/fmaf057","type":"journal-article","created":{"date-parts":[[2026,1,16]],"date-time":"2026-01-16T12:38:34Z","timestamp":1768567114000},"source":"Crossref","is-referenced-by-count":0,"title":["Epidemiology and outcomes of children admitted to the pediatric intensive care unit in Suriname: a retrospective observational study from a middle-income country"],"prefix":"10.1093","volume":"72","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4750-3169","authenticated-orcid":false,"given":"Kevin","family":"van \u2019t Kruys","sequence":"first","affiliation":[{"name":"Department of Pediatrics, Academic Hospital Paramaribo , Paramaribo,","place":["Suriname"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Natanael","family":"Holband","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Academic Hospital Paramaribo , Paramaribo,","place":["Suriname"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Femke","family":"Hielema","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Academic Hospital Paramaribo , Paramaribo,","place":["Suriname"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rens","family":"Zonneveld","sequence":"additional","affiliation":[{"name":"Department of Medical Microbiology & Infection Prevention, Amsterdam UMC, Location AMC , Amsterdam, 1105 AZ,","place":["The Netherlands"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Navin P","family":"Boeddha","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Division of Pediatric Infectious Diseases and Immunology, Erasmus MC-Sophia Children\u2019s Hospital, University Medical Center Rotterdam , Rotterdam, 3015 GD,","place":["The Netherlands"]},{"name":"Department of Pediatrics, Maasstad Hospital , Rotterdam, 3079 DZ,","place":["The Netherlands"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gertjan","family":"Driessen","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, MosaKids Children\u2019s Hospital, Maastricht UMC , Maastricht, 6229 HX,","place":["The Netherlands"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Frans B","family":"Pl\u00f6tz","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Tergooi MC , Hilversum, 1212 VG,","place":["The Netherlands"]},{"name":"Department of Pediatrics and Amsterdam Reproduction & Development Research Institute, Amsterdam UMC , Amsterdam, 1105 AZ,","place":["The 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