Background
Methods
Study design
Results
Patient summaries
Patient 1
Visit type | Reason/procedure | No. of events (unless otherwise specified) |
---|---|---|
Inpatient | Inpatient staysa | 725 days |
NICU | 73 days | |
Mechanical ventilation | 73 days | |
Chest radiographs | 16 | |
Endotracheal intubation | 3 | |
Ultrasonography | ||
− Cranial | 3 | |
− Abdominal | 2 | |
− Renal tract | 2 | |
EEG | 1 | |
Tracheostomy | 1 | |
Specialist visits | ||
− Otorhinolaryngologist | 3 | |
− Genetics specialist | 1 | |
PICU | 203 days | |
Mechanical ventilation | 203 days | |
Tracheoscopy | 3 | |
Hickman line–insertion and manipulation of line under general anesthesia | 3 | |
Radiography | ||
− Chest | 3 | |
− Forearm | 2 | |
Cranial CT and MRI | 2 | |
PORT-A-CATH insertion, central line removal | 1 | |
Neurologic procedure: intracranial pressure monitor insertion | 1 | |
Neurologic procedure: intracranial pressure monitor removal | 1 | |
Thoracic CT with contrast | 1 | |
Ultrasonography | ||
− Abdomen | 1 | |
− Hips | 1 | |
− Central veins | 1 | |
− Doppler of neck and left leg | 1 | |
Endotracheal intubation | 1 | |
Specialist visits | ||
− Occupational therapist, 2 times/wk | 57 | |
− Physiotherapist, 2 times/wk | 57 | |
− Dietician | 32 | |
− Pediatric immunologist | 12 | |
− Neurologist | 6 | |
− Ophthalmologist | 5 | |
− Speech and language specialist | 5 | |
− Otorhinolaryngologist | 4 | |
− Cardiologist | 3 | |
− Neurosurgeon | 2 | |
− Pediatric surgeon | 2 | |
− Genetics specialist | 1 | |
− Microbiologist | 1 | |
− Orthopedic surgeon | 1 | |
− Pediatric radiologist | 1 | |
− Pulmonologist | 1 | |
High-Dependency Unit, pediatric bed days | 19 days | |
Mechanical ventilation | 19 days | |
Renal tract ultrasonography | 1 | |
Gastrostomy insertion | 1 | |
Long-term Treatment Ventilation Unit | 430 days | |
Mechanical ventilation | 430 days | |
Radiography | 2 | |
Respiratory sleep study | 2 | |
Cranial CT | 1 | |
Renal tract ultrasonography | 1 | |
Gastrostomy tube insertion | 1 | |
Specialist visits | ||
− Pulmonologist | 430 | |
− Occupational therapist, 2 times/wk | 123 | |
− Physiotherapist, 2 times/wk | 123 | |
− Dietician | 21 | |
− Speech and language specialist | 16 | |
− Neurosurgeon | 4 | |
− Ophthalmologist | 2 | |
− Otorhinolaryngologist | 1 | |
− Pediatric surgeon | 1 | |
Outpatient procedure | Outpatient procedures | 2 |
Revision of gastrostomy tube | 1 | |
Renal ultrasonography | 1 | |
Outpatient specialist visit | Outpatient specialist visits | 32 |
Pediatric endocrinologist visits (first visit and 3 follow-up attendance visits) | 4 | |
Occupational therapist, 2 times/mo | 14 | |
Physiotherapist, 2 times/mo | 14 | |
Community ventilation | Community ventilation | 185 days |
Community long-term ventilation | 185 days |
Patient 2
Visit type | Reason/procedures | No. of events (unless otherwise specified) |
---|---|---|
Inpatient | Inpatient stays | 43 days |
Pediatric Ward | 3 days | |
Renal ultrasonography | 1 | |
Skull radiograph | 1 | |
Cranial CT | 1 | |
DXA | 1 | |
Ophthalmologist assessment | 1 | |
Pediatric Ward | 3 days | |
Inpatient admission for physiotherapy and occupational therapy and review by specialist | ||
Neurosurgical Ward | 5 days | |
Craniovertebral decompression | 1 | |
Chest radiograph | 1 | |
Foramen magnum decompression | 1 | |
Neurosurgical Ward | 14 days | |
Cranial MRI | 2 | |
Ventriculoperitoneal shunt insertion | 1 | |
Lumbar puncture and lumbar drain insertion | 1 | |
Cranial CT | 1 | |
Neurosurgical Ward | 7 days | |
Left ventriculoperitoneal shunt insertion, stealth guided | 1 | |
Cranial CT | 1 | |
Neurosurgical Ward | 6 days | |
Left ventriculoperitoneal shunt insertion, image guided | 1 | |
Orthopedic Ward | 5 days | |
Intramedullary rod insertion for bilateral femur fractures | 1 | |
Day case | Day case procedures | 3 |
Dental surgery | 2 | |
Teeth extraction | 1 | |
Outpatient procedure | Outpatient procedures | 62 |
Radiography | ||
− Limbs | 18 | |
− Spine | 12 | |
− Pelvis | 1 | |
MRI | ||
− Cranial | 14 | |
− Spine | 2 | |
DXA | 6 | |
Renal ultrasonography | 6 | |
CT | ||
− Cranial | 2 | |
− Abdomen | 1 | |
Outpatient specialist visit | Outpatient specialist visits | 153 |
Pediatric dentist | 38 | |
Pediatric endocrinologist (first plus follow-up attendance) | 32 | |
Neurosurgeon | 27 | |
General pediatrician (first plus follow-up attendance) | 19 | |
Pediatric ophthalmologist (first plus follow-up attendance) | 10 | |
Occupational therapist | 7 | |
Spinal surgeon | 7 | |
Pediatric orthopedist (first plus follow-up attendance) | 5 | |
Pain clinics | 4 | |
Pediatric plastic surgeon (first plus follow-up attendance) | 2 | |
Genetic specialist | 1 | |
Pediatric craniofacial team (first attendance) | 1 |
Patient 3 (Some details of this case were previously described [40])
Visit type | Reason/procedures | No. of events (unless otherwise specified) |
---|---|---|
Inpatient | Inpatient stays | 19 days |
Pediatric Ward | 14 days | |
IV antibiotics for chronic multifocal osteomyelitis | 1 | |
Pediatric Ward | 3 days | |
Bisphosphonate infusion for chronic multifocal osteomyelitis | 1 | |
MRI scan | 1 | |
Pediatric Ward–admission under cardiology | 2 days | |
Supraventricular tachycardia ablation | 1 | |
Day case | Day case procedures | 11 |
Restorative dentistry (elective) | 3 | |
Radiography | ||
− Skull | 1 | |
− Left arm/hand | 1 | |
Renal ultrasonography | 1 | |
MRI scan of lower limbs | 1 | |
CT scan of lower limbs | 1 | |
Bone biopsy (elective)–admission under orthopedics | 1 | |
Dental procedure (elective)–treatment of dental caries under local anesthesia | 1 | |
Endoscopy and biopsy (elective)–admission under gastroenterology | 1 | |
Outpatient procedure | Outpatient procedures | 12 |
Radiography of limbs | 9 | |
MRI of lower limbs with contrast | 3 | |
Outpatient specialist visit | Outpatient specialist visits | 62 |
Pediatric dentist | 40 | |
Child and adolescent psychiatrist | 6 | |
Pediatric cardiologist (first and follow-up attendance) | 6 | |
Pediatric rheumatologist | 6 | |
Pediatrician (first and follow-up attendance) | 2 | |
Physiotherapist | 1 | |
Podiatrist | 1 |