Title: Clinical Profile and Outcome of Patients Admitted to Pediatric Intensive Care Unit of a Tertiary Care Teaching Hospital in Eastern India
Authors: Sarbani Misra Roy, Suprit Basu, Bidhan Ch Roy, Supratim Datta
DOI: https://dx.doi.org/10.18535/jmscr/v6i9.186
Abstract
Introduction: Pediatric intensive care has become very important in the management of critically ill children who need advanced airway, respiratory and hemodynamic support with the aim to achieve better outcome.
Materials and Methods: A retrospective study was done in children aged more than 28 days to 12 years admitted to a pediatric intensive care unit (PICU) of a tertiary care teaching hospital in Eastern India. over a period of one year - from 1st January 2017 to 31st December 2017.The records of all admissions were reviewed. The results are tabulated in Microsoft excel.
Results: Of the 481 children admitted, 360 patients (74.34%) survived. 309 (64.24%) were male and 172 (35.76%) were females. Maximum number (n=170, 35.34 %) of cases admitted belonged to the age group > 28 days to 12 months and maximum death (n=51,43.59%) also occurred in this age group. Under five mortality was 83 (64.51%) (including 43.59% infant mortality and excluding neonates). Of the 136 (37.78%) patients required mechanical ventilation, 63 (46.32%) patients were successfully recovered. Three most common disease categories required admission were central nervous system (n=128, 26.61%) respiratory (n=112, 23.28%) and gastrointestinal (n=63, 13.1%).
Conclusion: More studies are required to assess the overall outcomes of critically ill children in India. Epidemiologic analysis of these patients can aid in redistributing the resources and improve the outcome.
Keywords: critical illness, epidemiology, pediatric intensive care unit, outcome.
References
- Wheeler, Derek S., Wong, Hector R., Shanley, Thomas P. (Eds.) Science and Practice of Pediatric Critical Care Medicine, DOI 10.1007/978-1-84800-921-9_2, © Springer-Verlag London Limited 2009
- Gupta D, Butola K.S., Nath B, Masood J. Retrospective review of disease patterns and outcomes of patients admitted inMedical Intensive Care Unit (MICU) of Government Medical College and Hospital, Srinagar (Uttarakhand) .Journal of Preventive Medicine and Holistic Health, January-June 2016;2(1):24-27 DOI: 10.5958/2454-6712.2016.00006.7
- Khilnani P, Sarma D, Singh R, Uttam R, Rajdev S, Makkar A, et al. Demographic profile and outcome analysis of a tertiary level pediatric intensive care unit. Indian J Pediatr2004; 71:587-91. [PubMed]
- Blessing I. Abhulimhen – Iyoha, Suneel Kumar Pooboni and Nanda Kishore Kumar Vuppali. Morbidity Pattern and Outcome of Patients Admitted into a Pediatric Intensive Care Unit of India. Indian Journal of Clinical Medicine 2014: 5; 1-5.
- Haque A, Bano S. Clinical profile and outcome in a paediatric intensive care unit in Pakistan. J Coll Physicians Surg Pak 2009; 19:534-5.doi: 08.2009/JCPSP.534535. [PubMed]
- Das I, Bezboruah G, Pathak K , Rahman MClinical Profile And Outcome of Patients Admitted In Pediatric Intensive Care Unit of Gauhati Medical College & Hospital. .e-ISSN: 2279-0853, p-ISSN: 2279- 0861.Volume 16, Issue 12 Ver. II (Dec. 2017): 27-29. DOI: 10.9790/0853-1612022729
- Bertolini G, Donata RAC, Apolone G. PRISM—an assessment of its performance in a sample of 26 Italian ICU’S. Crit Care Med. 1988;26:1427–1432.