Characteristics, interventions and outcomes of patients admitted to the seven PICUs repurposed to care for adults
Hospitals | St Mary’s Hospital | Royal Brompton Hospital | Royal London Hospital | Alder Hey Children’s Hospital | Royal Manchester Children’s Hospital | King’s College Hospital | Royal Stoke University Hospital | Total |
Period during which PICU was repurposed | 9 weeks (20 March−22 May) | 6 weeks (3 April−13 May) | 7 weeks (23 March–12 May) | 3 weeks (6 April–1 May) | 6 weeks (8 March–21 April) | 6 weeks (27 March–10 May) | 5 weeks (30 March–6 May) | |
Total number of patients in adult critical care (COVID and non-COVID) in the same hospital during the same time period | 118 | 110 | 187 | 11 | 115 | 101 | 70 | 712 |
Repurposed PICU activity for adults | ||||||||
Number of patients without COVID | 5 | 0 | 8 | 0 | 0 | 23 | 0 | 36 |
IMV | 5 | 0 | 6 | 0 | 0 | 23 | 0 | 34 |
HFNC | 0 | 0 | 2 | 0 | 0 | 0 | 0 | 2 |
Total number of patients with COVID | 23 | 29 | 26 | 11 | 9 | 0 | 11 | 109 |
ECMO | 1 | 5 | 0 | 0 | 0 | 0 | 0 | 6 |
IMV | 22 | 24 | 8 | 11 | 9 | 0 | 11 | 85 |
NIV | 0 | 0 | 10 | 0 | 0 | 0 | 0 | 10 |
HFNC | 0 | 0 | 8 | 0 | 0 | 0 | 0 | 8 |
Patient-bed days | 434 | 324 | 197 | 169 | 81 | 229 | 119 | 1553 |
Median age in years (range) | 57 (32–76) | 50 (36–77) | 57 (19–78) | 62 (44–7) | 60 (50–70) | 53 (19–77) | 55 (20–73) | |
Interventions | ||||||||
ECMO RRT | 1 6 | 5 9 | 0 0 | 0 4 | 0 0 | 0 0 | 0 1 | 6 20 |
CPR | 2 | 1 | 0 | 1 | 1 | 2 | 0 | 7 |
Tracheostomy | 9 | 14 | 0 | 0 | 6 | 10 | 3 | 42 |
Outcome | ||||||||
Died in PICU | 8 | 2 | 3 | 4 | 1 | 0 | 2 | 20 |
Discharged from PICU | 20 | 27 | 31 | 7 | 8 | 23 | 9 | 125 |
Repurposed PICU activity for children | ||||||||
Bed capacity | 2 | 1 | 2 | 43 | 15 | 4 | 0 | 67 |
Non-COVID children | 24 | 0 | 8 | 34 | 59 | 21 | 0 | 146 |
COVID children | 5 | 0 | 1 | 2 (1 on ECMO) | 1 | 4 | 0 | 13 |
Refusals/Transfers out | 6 | 0 | 1 | 0 | 0 | 8 | 0 | 15 |
CPR, cardiopulmonary resuscitation; ECMO, extracorporeal membrane oxygenation; HFNC, high flow nasal cannula therapy; IMV, invasive mechanical ventilation; NIV, non-invasive ventilation; PICU, paediatric intensive care unit; RRT, renal replacement therapy.