Pediatric anesthesia & critical care

Updating the Epidemiology of Pediatric Critical Care in the United States: 2001–2022

Crit Care MedPublished Retrospective cohort study

Authors' conclusion

The number of U.S. children admitted to ICUs continued to increase substantially in 2022, with rising prevalence of ICU care among hospitalized children

Study context

Population
Hospitalized children aged 0–17 years, excluding newborns, Healthcare Cost and Utilization Project State Inpatient Databases, 21 US states, 2001–2022
Participants
2,617,308 hospital admissions
Outcome
Pediatric ICU admission trends
Follow-up
2001–2022
Methodological detailspopulation-based, 21 US states
  • Population-based
  • 21 US states

Main finding

As reported in the abstract

Admissions with a non-neonatal ICU admission
410,646 (15.7%)
ICU admission prevalence among hospitalizations, 2001
10.5%
ICU admission prevalence among hospitalizations, 2022
20.7%
ICU patients admitted to highest-level pediatric facilities, 2001
41.1%
ICU patients admitted to highest-level pediatric facilities, 2019
72.3%
ICU patients admitted to highest-level pediatric facilities, 2022
69.3%

Observational data: associations, not effects.

Further findings

Comorbidities, technology dependence and organ failure · 2019–2022

Percentage of ICU patients with chronic comorbidities, technology dependence and organ failure decreased slightly; population-based incidence of comorbidities and technology dependence rose

ICU mortality · 2001–2022

ICU mortality, 2001
2.4%
ICU mortality, 2022
1.6%

National estimates of ICU admissions and total hospital costs (2022 dollars) · 2019–2022

Estimated ICU admissions, 2019
239,000
Estimated ICU admissions, 2022
328,000
Total hospital costs, 2019
$11.6 billion
Total hospital costs, 2022
$14.4 billion
  • Age- and sex-adjusted national estimates

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Updating the Epidemiology of Pediatric Critical Care in the United States: 2001–2022. Crit Care Med. Published 10 August 2026. doi:10.1097/ccm.0000000000007307

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