The Relationship Between Remoteness and Outcomes in Critically Ill Children.

Objective: A significant number of children live in remote geographic areas without direct access to tertiary care PICU. Our objective was to explore the relationship between remoteness and outcomes of critically ill children in Canada. Design: Retrospective cohort study of patients admitted to the PICU from February 1, 2015, to January 31, 2016. Setting: Pediatric tertiary care PICU in Canada. Patients: All children admitted to PICU during the study period. Interventions: None Measurements and Main Results: Four hundred fifty-five unique PICU admissions were included. One hundred sixty-nine patients were transported from another center of whom 28 lived in remote areas. For transported patients, remoteness (hazard ratio, 2.76, p

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