A National Survey of Pediatric Post-Acute Care Facilities.
Pediatr Crit Care Med
; 25(6): 493-498, 2024 Jun 01.
Article
in En
| MEDLINE
| ID: mdl-38836709
ABSTRACT
OBJECTIVES:
To identify and geolocate pediatric post-acute care (PAC) facilities in the United States.DESIGN:
Cross-sectional survey using both online resources and telephone inquiry.SETTING:
All 50 U.S. states surveyed from June 2022 to May 2023. Care sites identified via state regulatory agencies and the Centers for Medicare & Medicaid Services.INTERVENTIONS:
None. MEASUREMENTS AND MAINRESULTS:
Number, size, and type of facility, scope of practice, and type of care provided. One thousand three hundred fifty-five facilities were surveyed; of these, 18.6% (252/1355) were pediatric-specific units or adult facilities accepting some pediatric patients. There were 109 pediatric-specific facilities identified within 39 U.S. states. Of these, 38 were freestanding with all accepting children with tracheostomies, 97.4% (37/38) accepting those requiring mechanical ventilation via tracheostomy, and 81.6% (31/38) accepting those requiring parenteral nutrition. The remaining 71 facilities were adult facilities with embedded pediatric units or children's hospitals with 88.7% (63/71), 54.9% (39/71), and 54.9% (39/71), accepting tracheostomies, mechanical ventilation via tracheostomy, and parenteral nutrition, respectively. Eleven states lacked any pediatric-specific PAC units or facilities.CONCLUSIONS:
The distribution of pediatric PAC is sparse and uneven across the United States. We present an interactive map and database describing these facilities. These data offer a starting point for exploring the consequences of pediatric PAC supply.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Subacute Care
Limits:
Child
/
Humans
Country/Region as subject:
America do norte
Language:
En
Journal:
Pediatr Crit Care Med
Journal subject:
PEDIATRIA
/
TERAPIA INTENSIVA
Year:
2024
Document type:
Article
Country of publication:
Estados Unidos