Cohen PD, Boss RD, Stockwell DC, Bernier M, Collaco JM, Kudchadkar SR. Perspectives on non-emergent neonatal intensive care unit to pediatric intensive care unit care transfers in the United States. World J Crit Care Med 2024; 13(4): 97145 [DOI: 10.5492/wjccm.v13.i4.97145]
Corresponding Author of This Article
Phillip D Cohen, MD, MSc, Postdoctoral Fellow, Department of Anesthesiology and Critical Care Medicine, Johns Hopkins School of Medicine, 1800 Orleans St, Baltimore, MD 21287, United States. pcohen14@jh.edu
Research Domain of This Article
Critical Care Medicine
Article-Type of This Article
Observational Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Crit Care Med. Dec 9, 2024; 13(4): 97145 Published online Dec 9, 2024. doi: 10.5492/wjccm.v13.i4.97145
Perspectives on non-emergent neonatal intensive care unit to pediatric intensive care unit care transfers in the United States
Phillip D Cohen, Renee D Boss, David C Stockwell, Meghan Bernier, Joseph M Collaco, Sapna R Kudchadkar
Phillip D Cohen, David C Stockwell, Meghan Bernier, Sapna R Kudchadkar, Department of Anesthesiology and Critical Care Medicine, Johns Hopkins School of Medicine, Baltimore, MD 21287, United States
Renee D Boss, Joseph M Collaco, Sapna R Kudchadkar, Department of Pediatrics, Johns Hopkins School of Medicine, Baltimore, MD 21287, United States
Author contributions: Cohen PD and Kudchadkar SR designed and conducted the study, analyzed the data, and drafted the manuscript; Boss RD, Stockwell DC, Bernier M and Collaco JM contributed to the design of the study and interpretation of data and made critical revisions to the manuscript. All authors approved of the final version of the manuscript for submission.
Institutional review board statement: This study was submitted to the IRB at Johns Hopkins and deemed exempt as it is not human subjects research.
Informed consent statement: Respondents were not required to give informed consent given IRB exemption but they were nonetheless given informational materials and asked to agree to participate prior to starting the survey.
Conflict-of-interest statement: All authors report no relevant conflicts of interests.
Data sharing statement: De-personalized response data and STATA descriptive and analytic data are available from the corresponding author at pcohen14@jh.edu.
STROBE statement: The authors have read the STROBE Statement-checklist of items, and the manuscript was prepared and revised according to the STROBE Statement-checklist of items.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Phillip D Cohen, MD, MSc, Postdoctoral Fellow, Department of Anesthesiology and Critical Care Medicine, Johns Hopkins School of Medicine, 1800 Orleans St, Baltimore, MD 21287, United States. pcohen14@jh.edu
Received: May 30, 2024 Revised: September 4, 2024 Accepted: September 11, 2024 Published online: December 9, 2024 Processing time: 153 Days and 19.8 Hours
Core Tip
Core Tip: This is the first published study characterizing practice patterns of non-emergent neonatal intensive care unit to pediatric intensive care unit transfers, a growing subpopulation with high morbidity and mortality in the United States. Our results show these transfers were common, but most centers do not have standardized clinical criteria or transfer protocols. A wide variety of practices exist among those with set processes. An overwhelming majority of respondents endorsed that standardizing clinical criteria and transfer protocols are important for patient safety and the patient-family experience. Furthermore, respondents evaluated these transfers as more effective when standardization was in place, suggesting benefits of institutional attention to these processes.
