Paediatric Critical Care Minimum Data Set Overview

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 Paediatric Intensive Care Unit (Paediatric critical care patients predominate)
  • 16 Ward for children and young people
  • 17 High Dependency Unit for children and young people
  • 18 Renal Unit for children and young people
  • 19 Burns Unit for children and young people
  • 92 Non standard location using the operating department for children and young people
to whom one or more of the following CRITICAL CARE ACTIVITIES applies for a period greater than 4 hours:
  
04Exchange transfusion
05Peritoneal dialysis (acute patients only i.e. excluding chronic)
06Continuous infusion of inotrope, pulmonary vasodilator or prostaglandin
09Supplemental oxygen therapy (irrespective of ventilatory state)
13Tracheostomy cared for by nursing staff
16Haemofiltration
50Continuous electrocardiogram monitoring
51Invasive ventilation via endotracheal tube
52Invasive ventilation via tracheostomy tube
53Non-invasive ventilatory support
55Nasopharyngeal airway
56Advanced ventilatory support (Jet or Oscillatory ventilation)
57Upper airway obstruction requiring nebulised Epinephrine/ Adrenaline
58Apnoea requiring intervention
59Acute severe asthma requiring intravenous bronchodilator therapy or continuous nebuliser
60Arterial line monitoring
61Cardiac pacing via an external box (pacing wires or external pads or oesophageal pacing)
62Central venous pressure monitoring
63Bolus intravenous fluids (> 80 ml/kg/day) in addition to maintenance intravenous fluids
64Cardio-pulmonary resuscitation (CPR)
65Extracorporeal membrane oxygenation (ECMO) or Ventricular Assist Device (VAD) or aortic balloon pump
66Haemodialysis (acute patients only i.e. excluding chronic)
67Plasma filtration or Plasma exchange
68ICP-intracranial pressure monitoring
69Intraventricular catheter or external ventricular drain
70Diabetic ketoacidosis (DKA) requiring continuous infusion of insulin
71Intravenous infusion of thrombolytic agent (limited to tissue plasminogen activator [tPA] and streptokinase)
72Extracorporeal liver support using Molecular Absorbent Recirculating System (MARS)
73Continuous pulse oximetry
74Patient 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:

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: