Respiratory Medicine admission criteria

This is a list of patient diagnoses admitted to Great Ormond Street Hospital (GOSH) by our Respiratory team, the timeframe in which they should be treated and their estimated length of stay (LoS).

Health professionals are reminded that this information is for guidance only.

Emergency admissions

Children with the following diagnoses are considered an emergency and should be transferred to GOSH within hours from receipt of referral.

 Diagnosis  Estimated LoS
 Empyema  7-10 days
 Unplanned/unexpected non-invasive ventilation  1-2 nights

Urgent admissions

Children with the following diagnoses should be transferred to GOSH within days from receipt of referral.

 Diagnosis  Estimated LoS
 Chronic cystic fibrosis - acutely unwell  3 weeks
 Pierre Robin Syndrome with nasal pharyngeal prong  7-18 days

Elective admissions

Children with the following diagnoses should be referred to GOSH via the non-emergency pathway.

 Diagnosis Estimated LoS
Cardiothoracic - lobectomy 3-7 days
Chronic cystic fibrosis - planned (eg intravenous antibiotics, procedural) 10-14 days
Long-term non-invasive ventilation (awaiting transitional care) 1-6 months
Planned non-invasive ventilation - other specialty 1 night-21 days
Planned trachy-ventilation - other specialty 1 night-21 days
Respiratory inpatient investigations 2-5 days
Sleep study patients (unsuitable for sleep unit) 1 night

Reviewed by: Colin Wallis, Consultant, Respiratory Medicine. August 2011