https://www.gosh.nhs.uk/wards-and-departments/departments/clinical-specialties/respiratory-information-parents-and-visitors/refer-patient-respiratory-department/respiratory-medicine-admission-criteria/
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 |