A Retrospective Evaluation of Morbidity Pattern and Outcome of Patients Admitted into a Pediatric Intensive Care Unit in India

Mridha, Dr Dhrubajyoti

doi:10.18535/jmscr/v5i11.132

Cited by 3 publications

(5 citation statements)

References 5 publications

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“…Other systemic diseases were diagnosed in 21.3% of children. Respiratory diseases being the leading cause for PICU admission is similar to some studies 11,12 . However, cardiovascular disease (41.1%) was the most common disease reported by Blesing I, et al 4 .…”

Section: Resultssupporting

confidence: 84%

Morbidity pattern and outcome in patients admitted in a paediatric intensive care unit: Experience of hospital attached to medical college in rural Maharashtra

Poyekar

2021

Sri Lanka J Child Health

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Introduction: Critically ill children require treatment in an intensive care unit which is not easily available in rural areas and costly resulting in more deaths in rural parts of India. The knowledge of pattern of disease prevalent in the local community plays an important role in planning appropriate health care facilities. Outcome findings help in evaluation of current medical practices and carrying out changes if necessary, leading to better patient care.Objectives: To analyse morbidity pattern and outcome in patients admitted in a Paediatric Intensive Care Unit (PICU) of a hospital in rural Maharashtra.Method: Descriptive data were collected retrospectively from the hospital medical records from January 2017 to December 2018 and analysed for morbidity pattern and outcome in children admitted in the PICU.Results: A total of 2386 children were admitted and treated in the PICU during the 2-year period. Mean age of the studied patients was 40.2 ± 42 months; 34% were infants and 58.9% were males. The mean length of stay (LOS) in PICU was 4.81 ± 4.89 days. Diagnoses included respiratory infection (27.3%), infectious diseases (20.5%), neurological disorders (18.2%), gastrointestinal (10.5%), haematological (5.8%), renal/endocrinal (3.2 %), cardiovascular (3.1%), and others (10.7%). Other causes included acute poisoning, snake / scorpion bite, trauma and foreign body ingestion / aspiration. The overall mortality rate was 9%.

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Section: Resultssupporting

confidence: 84%

Morbidity pattern and outcome in patients admitted in a paediatric intensive care unit: Experience of hospital attached to medical college in rural Maharashtra

Poyekar

2021

Sri Lanka J Child Health

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“…In the present study, 100% patients belonged to Lower socioeconomic class. Similar findings have been reported by other studies [5,6,7].…”

Section: Correlation Of Bpews Score With Duration Of Staysupporting

confidence: 93%

“…In the present study, 63.64 % patients had a compromised nutritional status. Under nutrition is associated with [5,6] approximately half of all deaths in under 5 children. Beyond having a direct impact on mortality, under nutrition increases the frequency and severity of pneumonia & diarrhea potentially representing a secondary immune deficiency [8].…”

Section: Correlation Of Bpews Score With Duration Of Staymentioning

confidence: 99%

Mortality Profile and Its Correlation With Bpews Score in Pediatric Intensive Care Unit of Tertiary Care Centre

Mauskar

Tabshir

Inamdar

2023

PIJR

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Introduction: The care of critically ill children remains one of the most demanding and challenging aspects in the field of Pediatrics. In spite of availability of well-equipped Pediatric Intensive Care Units (PICU), deaths do occur. Aims/objective:To study the mortality profiles and its correlation to the Bedside Pediatric Early Warning System Score (BPEWS) in children who expired within 48 hours of admission.Inclusion criteria:children aged1 month to 12 years who expired within 48 hours of admission in PICU of a tertiary care center.Methods:Approval from the institutional ethics committee was obtained prior to commencement of the study.Retrospective data of consecutive children aged 1 month to 12 years who expired within 48 hours, was collected from the hospital's Medical Records Section. The variables necessary for BPEWS Score calculator were noted and the BPEWS Score was calculated. Result: 84% patients were below five years of age with mean age of 2.6 year and 57% were females. Mean duration of stay was 19.68 hours. Mean distance from health facility was 8.31 km. Respiratory system was affected in the majority of patients (47%). More than forty percent of children were undernourished. Mean BPEWS score was 17.36 in the age group of 1 to 5 year, which depicts poor outcome. Conclusion: Majority of early deaths (within 48hrs) occurred in patients less than five years of age.Higher BPEWS (>8) was associated with shorter duration of stay of patients and poor outcome

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“…These findings are similar to studies in the Indian subcontinent. 18,19 While other studies showed cardiovascular and post cardiac surgery to be the most common causes for admission. 20,21 This reflects that admissions in PICUs can vary depending on the locally prevalent diseases and PICUs should have adequate resources including staff and treatment protocols to manage the most prevalent conditions.…”

Section: Discussionmentioning

confidence: 99%

“…22 Various studies reported mortality in the range of 2.1-35%. [18][19][20][21][22][23] The wide range of mortality may be due to varied reasons, delayed referral to an intensive care unit could be one of the many reasons. Bed occupancy in a PICU is an important tool to analyse the effective working of a PICU.…”

Section: Discussionmentioning

confidence: 99%

Outcome analysis of a newly setup pediatric intensive care unit in a teaching hospital of northern India

Chakravarty

Mohapatra

Garg

et al. 2019

Int J Contemp Pediatr

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Background: Pediatric intensive care units (PICU) have brought about dramatic increase in the survival of critically ill children. The aim of pediatric intensive care is not just to save lives but also to maximise the quality of those lives. Evaluation of the outcome of an intensive care unit is necessary as a measure of quality improvement in patient care.Methods: A retrospective observational study was done in a PICU of a teaching hospital between February 2017 to August 2018. Records of all admissions, transfer outs, discharges and deaths were collected along with age, sex, diagnosis, length of stay, and outcome.Results: Mean age of the 601 patients admitted over a period of nineteen months was 4 years. 36% patients were between 1-5 year and 32% were infants. Major indication for admission to the PICU was respiratory (30%) followed by neurological illnesses (25%) and infections (22%). Increased length of stay (LOS) (>5 days) was seen in respiratory, neurological diseases and infections. A significant relation (p value <0.05) was found between outcome and patients admitted with sepsis and the group classified as others. Patients admitted with involvement of nephrology system had a significant relation with LOS (p value <0.05). The mortality rate was 2%.Conclusion: The outcome analysis of our newly setup PICU is comparable with other studies in the Indian subcontinent. Active surveillance or audit of PICU admissions help capture lapses in management and bring a better outcome with available resources.

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A Retrospective Evaluation of Morbidity Pattern and Outcome of Patients Admitted into a Pediatric Intensive Care Unit in India

Cited by 3 publications

References 5 publications

Morbidity pattern and outcome in patients admitted in a paediatric intensive care unit: Experience of hospital attached to medical college in rural Maharashtra

Morbidity pattern and outcome in patients admitted in a paediatric intensive care unit: Experience of hospital attached to medical college in rural Maharashtra

Mortality Profile and Its Correlation With Bpews Score in Pediatric Intensive Care Unit of Tertiary Care Centre

Outcome analysis of a newly setup pediatric intensive care unit in a teaching hospital of northern India

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