Paediatric anaesthesia & critical care

Pediatric Intensive Care Utilization and Outcomes in Denmark

JAMA Netw OpenPublished Population-based retrospective cohort study

Authors' conclusion

In this cohort study of 7875 children representing 9458 ICU admissions in Denmark, ICU admission rates declined during the study period from 2019 to 2024 and remained a small proportion of overall pediatric hospitalizations. In-hospital and postdischarge mortality remained stable and low.

Study context

Population
Children aged 0–17 years admitted to an ICU in Denmark (excluding neonatal intensive care units (ICUs), rehabilitation centres, psychiatric hospitals)
Participants
7,875 children · 9,458 ICU admissions
Exposure
Trends over time 2019–2024
Outcome
ICU admission and mortality rates (Poisson regression, offset log of annual children at risk)
Methodological detailsmulticentre (19 public Danish hospitals)
  • Multicentre (19 public Danish hospitals)

Main finding

As reported in the abstract

Incidence of pediatric ICU admissions (per 1000 person-years) · 2020 to 2024

ICU admission incidence 2020

1.35 (95% CI, 1.35-1.35) per 1000 person-years

ICU admission incidence 2024

1.17 (95% CI, 1.17-1.17) per 1000 person-years

IRR 2024 vs 2020

0.86

95% CI 0.86–0.86

All-cause mortality of pediatric ICU patients remained similar across years

50 and 71

2.9% and 4.4%

Observational data: associations, not effects.

Further findings

Incidence of pediatric hospital admissions (per 1000 person-years) · 2020 to 2024

Hospital admission incidence 2020
109.12 (95% CI, 109.12-109.12) per 1000 person-years
Hospital admission incidence 2024
93.79 (95% CI, 93.79-93.79) per 1000 person-years
IRR 2024 vs 2020
0.86 (95% CI, 0.86-0.86)

In-hospital mortality

Remained similar across years (range)
30 to 44 [1.8% to 2.7%]

30-day post-discharge mortality

Remained similar across years (range)
17 [1.1%] to 33 [2.1%]

Patient characteristics

Age, median [IQR]
6 [1-13] years
Male
5533 [58.5%]
Admissions with chronic comorbidity
4918 (52.0%)
Congenital malformations (most common comorbidity)
2973 [31.4%]

Original publication

Pediatric Intensive Care Utilization and Outcomes in Denmark. JAMA Netw Open. Published 3 August 2026. doi:10.1001/jamanetworkopen.2026.29876

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