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Table 1 Differences in PICU admissions, bed-days and diagnostic categories between 2020 and 2016–2019

From: In the eye of the storm: impact of COVID-19 pandemic on admission patterns to paediatric intensive care units in the UK and Eire

 

2016–2019 aggregate

2020

Comparison (2020 vs. 2016–2019)

Mean (range)

n

Absolute difference

Relative difference (%)

Number of PICU admissions

January–March

5239 (5134–5319)

4846

 − 393

7.5

April–June

5008 (4982–5059)

3393

 − 1615

32.3

July–September

4869 (4788–4921)

4270

 − 599

12.3

October–December

5527 (5326–5733)

4432

 − 1095

19.8

Annual

20,643 (20,340–20,868)

16,941

 − 3702

17.9

PICU bed days

January–March

37,541 (36,963–38,922)

31,122

 − 6419

16.3

April–June

34,675 (32,823–35,965)

24,709

 − 9966

28.7

July–September

33,593 (32,438–34,480)

28,851

 − 4742

14.8

October–December

39,359 (32,248–40,980)

24,534

 − 14,825

37.7

Annual

145,168 (140,836–147,985)

109,216

 − 35,952

24.8

 

Median (IQR)

Median (IQR)

 

Difference in medians

PIM3 predicted probability of death

1.2 (0.5–3.4)

1.2 (0.5–3.4)

 

0.0

 

Mean n (%)

n (%)

Difference in proportions (95% CI)

Absolute difference (Relative difference, %)

Admission type

Planned

8275 (40.1)

7065 (41.7)

1.6 (0.8 to 2.4)

 − 1210 (− 14.6)

Unplanned

12,364 (59.9)

9862 (58.2)

 − 1.7 (− 2.4 to 0.9)

 − 2502 (− 20.2)

Primary diagnosis/reason for PICU admission

Respiratory

6119 (29.6)

3601 (21.3)

 − 8.3 (− 9.0 to − 7.6)

 − 2518 (− 41.1)

Unplanned respiratory*

5117 (41.4)

2922 (29.6)

 − 11.8 (− 12.8 to − 10.8)

 − 2195 (− 42.9)

Trauma

419 (2.0)

394 (2.3)

0.3 ( 0.1 to 0.5)

 − 25 (− 6.0)

Diabetic ketoacidosis

142 (0.7)

261 (1.5)

0.8 ( 0.6 to 1.0)

 + 119 (+ 83.8)

Asthma

399 (1.9)

239 (0.7)

 − 1.2 (− 1.4 to − 1.1)

 − 160 (− 40.1)

Bronchiolitis

1820 (8.8)

726 (4.3)

 − 4.5 (− 4.9 to − 4.2)

 − 1094 (− 60.1)

Interventions

Invasive ventilation†

12,757 (61.8)

9999 (59.0)

 − 2.8 (− 3.6 to − 2.0)

 − 2758 (− 21.6)

Inhaled nitric oxide

808 (3.9)

641 (3.8)

 − 0.1 (− 0.4 to 0.2)

 − 167 (− 20.6)

CVVH

369 (1.8)

335 (2.0)

0.2 (0.0 to 0.4)

–34 (− 9.2)

ECLS

249 (1.2)

205 (1.2)

0.0 (− 0.2 to 0.2)

 − 44 (–17.7)

Outcomes

In-PICU mortality

711 (3.4)

605 (3.6)

 − 0.2 (− 0.5 to 0.1)

–106 (− 14.9)

In-PICU mortality for respiratory admissions

134 (2.2%)

67 (1.9%)

0.3 (− 0.2 to 0.8)

 − 67 (− 50.0)

Median length of stay (days)

2.3 (1.0–5.5)

2.4 (1.0–5.7)

 

0.1

  1. PIM paediatric index of mortality, CVVH continuous veno-venous haemofiltration, ECLS extracorporeal life support, *denominator for percentage is number of unplanned admissions, †on any day of PICU admission