Title: Evaluation of Short Term Neurological Sequelae after Discharge and At One Month in Children Admitted with Non-Tumor Non-Traumatic Intracranial Pathology in A Tertiary Referral Teaching Centre
Authors: Dr Dinesh Mekle, Dr Jeetandra Kumar Sharma, Dr Pawan Ghanghoria
DOI: http://dx.doi.org/10.18535/jmscr/v4i10.17
Background- Despite appropriate antibiotic therapy and the availability of vaccines, bacterial meningitis in children is associated with a high risk of short term and long-term sequelae. The objectives of the present study were to evaluate the neurological sequelae in non-tumor non-traumatic paediatric patients, to characterize these children from a clinical point of view, and to identify clinical variables with potential to predict neurological sequelae and complications. Material and Method - This was a observational cross-sectional study, consisting of consecutive 1824 patients admitted in Department of Paediatrics, Neta ji subhash Chandra bose medical college Jabalpur (MP), India. Result: In our study we found that out of total death 46.15% occurred within 7 days and 30.77% after 15 days while less number of death occurred in more than 15 days of hospital stay. Among those who had sequelae at one month 73.68% cases were of more than 15 days of hospital stay. So we found that short term outcome [death] was more in cases with short duration of stay.Duration of stay also had significant association with the diagnosis of Tubercular Meningitise And Viral Encephalitise. Out of Tubercular Meningitise 66.67% And Viral Encephalitise 40% cases had hospital stay of more than 15 days duration. Conclusion- Based on results of the present study, it is possible to conclude that duration of hospital stay variable had correlation with poor outcome. Key Worlds— Hospital Stay, Paediatric Patients.
Abstract
