Clinical Profile and Outcome of Critically Ill Children in Tertiary Care Hospital
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Abstract
Introduction: The aim is to study the clinical profile and outcome of critically ill patients admitted to Pediatric Intensive Care Unit (PICU).
Method: This was a retrospective study of the demography, clinical profile and outcome of PICU patients admitted over a period of 1 year from January 2022 to December 2022.
Result: Total 213 patients were admitted, with males and females 66.7% and 33.3%, respectively. 62% of the patients were below 5 years of age. The most common presentation was primary neurological abnormalities 22.1% followed by primary respiratory abnormality 20.2%. The majority of patients 79.9% improved and discharged, 3.8% expired, 13.2% were referred after stabilization, and 3.3% left against medical advice.
Conclusion: A most common cause of admission in PICU is primary neurological abnormalities followed by respiratory.
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References
Lassi ZS, Mallick D, Das JK, et al. Essential interventions for child health. Reprod Health. 2014;11(1):4.
WHO. Pocket book for Hospital care for children: guidelines for the management of common illnesses
with limited resources. Geneva, Switzerland. World Health Organization; 2005.
Goldstein B, Giroir B, Randolph A, and the Members of the International Consensus Conference on Pediatric Sepsis. International pediatric sepsis consensus conference: definitions for sepsis and organ dysfunction in pediatrics. PediatrCrit Care Med 2005; 6: 2–8.
Young MP, Birkmeyer JD. Potential reduction in mortality rates using an intensivist model to manage intensive care units. Eff Clin Pract. 2000;3(6):284-9.
Fiser DH, Tilford JM, Roberson PK. Difference in pediatric ICU mortality risk over time. Crit Care Med. 1998;26:1737-43
Haque A, Bano S. Improving outcome in pediatric intensive care unit in academic hospital in Pakistan.
Pakistan J Med Sci. 2009;25:605-8.
Singhal D, Kumar N, Puliyl JM, Singh SK, Srinivas V. Prediction of mortality by application of PRISM score in intensive care unit. Indian Pediatr. 2001;38:714-9.
Shah GS, Shah BK, Thapa A, Shah L, Mishra OP. Admission patterns and outcome in a pediatric intensive care unit in Nepal. Br J Med Med Res. 2014;4(30):4939-45.
Haque A, Bano S. Clinical profile and outcome in a pediatric intensive care unit in Pakistan. J Coll Phys Surg Pakistan. 2009;19:534-5.
Blessing I, Iyoha A, Pooboni SK ,Vuppali NK. Morbidity pattern and outcome of patients admitted into a
pediatric intensive care unit in India. Ind J Clin Med. 2014;51-5.
Sahoo B, Patnaik S, Mishra R, Jain MK. Morbidity pattern and outcome of children admitted to a paediatric intensive care unit of Eastern India. Int J Contemp Pediatr 2017;4:486- 9.
Khilnani P, Sarma D, Singh. Demographic profile and outcome analysis of tertiary level pediatric intensive care unit. Indian J Paediatr. 2004;71:587- 91.
Bellad R, Rao S, Patil VD, Mahantshetti NS. Outcome of intensive care unit patients using pediatric risk of mortality (PRISM) score. Indian Pediatr. 2009;46:1091-2.
Choi KMS, Ng DKK, Wong SF. Assessment of the pediatric index of mortality (PIM) and the pediatric risk of mortality (PRISM) III score for prediction of mortality in a paediatric intensive care unit in Hong Kong. Hong Kong Med J. 2005;11:97-103.