Introduction
The Paediatric Critical Care Minimum Data Set has been specified as a simple data specification but will be carried within the existing framework of the Commissioning Data Set as supported by the Secondary Uses Service.
Scope
The definition of Paediatric Critical Care is linked to the definition of Paediatric Critical Care Healthcare Resource Groups.
The scope of the Paediatric Critical Care Minimum Data Set is:
| a) | All PATIENTS on a WARD with a CRITICAL CARE UNIT FUNCTION Paediatric Intensive Care Unit regardless of care being delivered |
| b) | All PATIENTS on a WARD with a CRITICAL CARE UNIT FUNCTION with National Code of either:
|
| 04 | Exchange transfusion |
| 05 | Peritoneal dialysis (acute patients only i.e. excluding chronic) |
| 06 | Continuous infusion of inotrope, pulmonary vasodilator or prostaglandin |
| 09 | Supplemental oxygen therapy (irrespective of ventilatory state) |
| 13 | Tracheostomy cared for by nursing staff |
| 16 | Haemofiltration |
| 50 | Continuous electrocardiogram monitoring |
| 51 | Invasive ventilation via endotracheal tube |
| 52 | Invasive ventilation via tracheostomy tube |
| 53 | Non-invasive ventilatory support |
| 55 | Nasopharyngeal airway |
| 56 | Advanced ventilatory support (Jet or Oscillatory ventilation) |
| 57 | Upper airway obstruction requiring nebulised Epinephrine/ Adrenaline |
| 58 | Apnoea requiring intervention |
| 59 | Acute severe asthma requiring intravenous bronchodilator therapy or continuous nebuliser |
| 60 | Arterial line monitoring |
| 61 | Cardiac pacing via an external box (pacing wires or external pads or oesophageal pacing) |
| 62 | Central venous pressure monitoring |
| 63 | Bolus intravenous fluids (> 80 ml/kg/day) in addition to maintenance intravenous fluids |
| 64 | Cardio-pulmonary resuscitation (CPR) |
| 65 | Extracorporeal membrane oxygenation (ECMO) or Ventricular Assist Device (VAD) or aortic balloon pump |
| 66 | Haemodialysis (acute patients only i.e. excluding chronic) |
| 67 | Plasma filtration or Plasma exchange |
| 68 | ICP-intracranial pressure monitoring |
| 69 | Intraventricular catheter or external ventricular drain |
| 70 | Diabetic ketoacidosis (DKA) requiring continuous infusion of insulin |
| 71 | Intravenous infusion of thrombolytic agent (limited to tissue plasminogen activator [tPA] and streptokinase) |
| 72 | Extracorporeal liver support using Molecular Absorbent Recirculating System (MARS) |
| 73 | Continuous pulse oximetry |
| 74 | Patient nursed in single occupancy cubicle |
If one or more of these items apply to a PATIENT, then the PATIENT would be counted as receiving Paediatric Critical Care at one of the levels of Intensive Care or High Dependency Care depending on the conditions/interventions which apply.
A number of these interventions will only occur in a Paediatric Intensive Care Unit environment where all PATIENTS are covered by the Paediatric Critical Care Minimum Data Set regardless of treatment. Care for PATIENTS outside of a Paediatric Intensive Care Unit will in practice be dealing with a shorter list of interventions. The Paediatric Critical Care Minimum Data Set should not be collected in facilities other than those with CRITICAL CARE UNIT FUNCTION:
- Paediatric Intensive Care Unit; or
- Ward for children and young people; or
- High Dependency Unit for children and young people; or
- Renal Unit for children and young people; or
- Burns Unit for children and young people; or
- Non standard location using the operating department for children and young people.
The Commissioning Data Set message will prevent submission of Paediatric Critical Care Minimum Data Set when submitted with a CRITICAL CARE UNIT FUNCTION other than those listed above.
The Paediatric Critical Care Minimum Data Set will be carried as part of the following Admitted Patient Care Commissioning Data Set Types:
- The Admitted Patient Care Finished General Episode (Commissioning Data Set TYPE 130)
- The Admitted Patient Care Unfinished General Episode (Commissioning Data Set TYPE 190)
- The Admitted Patient Care Delivery Episode (Commissioning Data Set TYPE 140)
- The Admitted Patient Care Unfinished Delivery Episode (Commissioning Data Set TYPE 200)
- The Admitted Patient Care Finished Birth Episode (Commissioning Data Set TYPE 120)
- The Admitted Patient Care Unfinished Birth Episode (Commissioning Data Set TYPE 180)