Section of Critical Care, Department of Pediatrics, Baylor College of Medicine/Texas Children's Hospital, Houston, Texas.
Section of Pediatric Hospital Medicine, Department of Pediatrics, Baylor College of Medicine/The Children's Hospital of San Antonio, San Antonio, Texas.
Pediatrics. 2022 May 1;149(5). doi: 10.1542/peds.2022-057009.
The purpose of this policy statement is to update the 2004 American Academy of Pediatrics clinical report and provide enhanced guidance for institutions, administrators, and providers in the development and operation of a pediatric intermediate care unit (IMCU). Since 2004, there have been significant advances in pediatric medical, surgical, and critical care that have resulted in an evolution in the acuity and complexity of children potentially requiring IMCU admission. A group of 9 clinical experts in pediatric critical care, hospital medicine, intermediate care, and surgery developed a consensus on priority topics requiring updates, reviewed the relevant evidence, and, through a series of virtual meetings, developed the document. The intended audience of this policy statement is broad and includes pediatric critical care professionals, pediatric hospitalists, pediatric surgeons, other pediatric medical and surgical subspecialists, general pediatricians, nurses, social workers, care coordinators, hospital administrators, health care funders, and policymakers, primarily in resource-rich settings. Key priority topics were delineation of core principles for an IMCU, clarification of target populations, staffing recommendations, and payment.
本政策声明的目的是更新 2004 年美国儿科学会临床报告，并为机构、管理人员和提供者在儿科中级护理单位（IMCU）的发展和运营方面提供更加强有力的指导。自 2004 年以来，儿科医疗、外科和重症监护方面取得了重大进展，导致潜在需要 IMCU 入院的儿童的病情严重程度和复杂性发生了演变。一组 9 名在儿科重症监护、医院医学、中级护理和外科领域的临床专家就需要更新的优先主题达成共识，审查了相关证据，并通过一系列虚拟会议制定了本文件。本政策声明的目标受众广泛，包括儿科重症监护专业人员、儿科医院医生、儿科外科医生、其他儿科内科和外科亚专科医生、普通儿科医生、护士、社会工作者、护理协调员、医院管理人员、医疗保健资助者和政策制定者，主要是在资源丰富的环境中。关键的优先主题包括界定 IMCU 的核心原则、明确目标人群、人员配备建议和支付。
