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World J Crit Care Med. Mar 9, 2025; 14(1): 101835
Published online Mar 9, 2025. doi: 10.5492/wjccm.v14.i1.101835
Forging an easier path through graduation: Improving the patient transition from paediatric to adult critical care
Stephen Warrillow, Ben Gelbart, Jess Stevens, Gordon Baikie, Mark E Howard
Stephen Warrillow, Department of Intensive Care, Austin Health, Heidelberg 3084, Victoria, Australia
Stephen Warrillow, Ben Gelbart, Department of Critical Care, The University of Melbourne, Parkville 3010, Victoria, Australia
Ben Gelbart, Department of Intensive Care, Royal Children’s Hospital, Parkville 3010, Victoria, Australia
Jess Stevens, Living with Disability Research Centre, La Trobe University, Bundoora 3086, Victoria, Australia
Gordon Baikie, Department of Neurodevelopment & Disability, Royal Children’s Hospital, Parkville 3010, Victoria, Australia
Gordon Baikie, Department of Paediatrics, The University of Melbourne, Parkville 3010, Victoria, Australia
Mark E Howard, Department of Respiratory and Sleep Medicine, Austin Health, Heidelberg 3084, Victoria, Australia
Mark E Howard, Department of Medicine, Austin Health, The University of Melbourne, Heidelberg 3084, Victoria, Australia
Co-first authors: Stephen Warrillow and Ben Gelbart.
Author contributions: Warrillow S and Gelbart B generated the original concept and manuscript outline, they contributed equally to the work; Warrillow S, Gelbart B, Stevens J, Baikie G, and Howard M contributed to their expert content, reviewed each draft and approved the final draft.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
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: Stephen Warrillow, Associate Professor, PhD, Department of Intensive Care, Austin Health, 145 Studley Road, Heidelberg 3084, Victoria, Australia. stephen.warrillow@austin.org.au
Received: September 28, 2024
Revised: October 28, 2024
Accepted: November 20, 2024
Published online: March 9, 2025
Processing time: 74 Days and 9.1 Hours
Core Tip

Core Tip: Paediatric patients with serious chronic diseases are now often surviving to adulthood and most will need to transition to adult oriented care facilities. This can be a challenging experience for patients, carers and clinicians. For patients who may require admission to an intensive care unit, better engagement with critical care specialists may improve the process of transition, leading to a better patient experience and improved clinical outcomes.