TABLE 2

Clinical Outcome Data for the Study Groups

CharacteristicPreimplementation (n = 87)Partial Implementation (n = 40)Full Implementation (n = 80)P Full Implementation Versus Control
LOS
 Total LOS
  Median (IQR)15 (5–37)17 (8–28)14 (6–40).95
   Mean ± SD18.1 ± 23.619.6 ± 13.616.7 ± 13.2.34
 PICU LOS
  Median (IQR)4 (1–14)6 (2–10)5 (1–24).03
    Mean ± SD6.3 ± 136.2 ± 3.67.5 ± 8.1.68
 Inpatient unit LOS
  Median (IQR)8 (3–26)8 (3–17)6 (2–19).07
    Mean ± SD10.8 ± 13.412.4 ± 13.08.2 ± 9.6.06
Duration of aspects of care
 Days to any enteral feeds
  Median (IQR)4 (1–12)5 (2–9)3 (1–11).16
   Mean ± SD5.1 ± 3.64.9 ± 2.74.2 ± 3.0.03
 Parenteral nutrition days
  Median (IQR)6 (0–25)6 (0–14)0 (0–17).0006
    Mean ± SD8.2 ± 13.65.9 ± 5.44.1 ± 6.0.03
 Foley catheter in place, days
  Median (IQR)4 (1–14)5 (2–11)5 (2–16).14
    Mean ± SD6.0 ± 10.86 ± 3.96.2 ± 6.0.99
 Oxygen days
  Median (IQR)5 (0–14)5 (1–14)6.5 (0–20).04
    Mean ± SD8.0 ± 19.36.9 ± 5.68.1 ± 8.4.92
 BiPAP days
  Median (IQR)5 (0–14)5 (1–14)6.5 (0–20).04
   Mean (SD)1.6 ± 5.42.6 ± 8.92.2 ± 4.9.48
 Central line in place, days
  Median (IQR)0 (0–0)0 (0–7)0 (0–14).04
    Mean ± SD14.0 ± 25.313.1 ± 5.212.0 ± 9.3.13
Postoperative resource use
 Consults requested in PICU
  Median (IQR)11 (0–30)14 (7–20)11 (0–33).92
    Mean ± SD1.7 ± 1.6)1.9 ± 0.31.9 ± 0.3.32
 Consultations requested, inpatient unit
  Median (IQR)2 (1–2)2 (2–2)2 (2–2).45
    Mean ± SD1.1 ± 1.51.7 ± 1.11.4 ± 0.8.06
 Sodium levels checked, inpatient unit
  Median (IQR)1 (0–4)1 (1–3)1 (1–3).0004
    Mean ± SD6.4 ± 6.36.2 ± 6.13.6 ± 3.6.0001
Postoperative complications, inpatient unit, Number
 Pancreatitis33 (38)19 (48)35 (44).55
 Pneumonia2 (2.3)2 (5.0)5 (6.3).44
 UTI5 (5.7)3 (7.5)5 (6.3).93
 Line infection rate/1000 d12.19.88.0.26
 Emergent consultation4 (4.6)2 (5.0)7 (8.8).51
 Unplanned AED change12/46 (26)3/24 (13)5/35 (14).26
 Unplanned studies, inpatient unit2 (0–8)3 (0–13)0 (0–8).0005
 Return to PICU6 (6.9)3 (7.5)2 (2.5).35
 Return to operating room7 (8.0)4 (10)1 (1.3).08
 30-d readmission rate14 (16.1)8 (20)10 (12.5).55
  • Data are presented as median (IQR), mean ± SD, or n (%). P values are for full intervention group versus preimplementation. Unplanned AED changes were analyzed only for patients taking seizure medications.