Admission Patterns and Outcome in a Pediatric Intensive Care Unit in Nepal

Shah, G. L.

doi:10.9734/bjmmr/2014/10318

Cited by 22 publications

(50 citation statements)

References 13 publications

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“…Patients with comorbid illness were at higher risk of mortality (p = 0.002) than those without (14.8% vs. 3.2%), which is similar to studies done in Nepal and China [12, 14, 16]. …”

Section: Discussionsupporting

confidence: 84%

“…However, the age distribution of ICU admission of which, the majority were under five (62.5%), was similar to studies done in India, 53–72.4% were under five [9–13]. The preponderance of male sex (53.8%) was similar to study done in Ethiopia − 54.7% [6] and Brazil − 55.2% [13], but somehow lower than studies done in India, Nepal, and Greek (54–61.1%) [9–12, 14]. …”

Section: Discussionsupporting

confidence: 76%

“…Thirty-four patients died giving a mortality rate of 8.5%. The reported mortality rate varies from 2.1 to 41% [6, 7, 9, 10, 12–16] with the highest mortality in developing countries due to lack of resources [6, 7]. Even though mortality in our patients was within the reference range, it’s relatively high compared to recent studies done in India [9] and China [14], that was 2.1 and 6.5% respectively.…”

Section: Discussionmentioning

confidence: 55%

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Assessment of pattern and treatment outcome of patients admitted to pediatric intensive care unit, Ayder Referral Hospital, Tigray, Ethiopia, 2015

et al. 2018

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ObjectiveTo describe admission pattern and outcome with its predictor variable on the mortality of children admitted to pediatric intensive care unit (PICU), Ayder Referral Hospital, Northern Ethiopia, from September 2012 to August 2014.ResultFrom 680 admitted patients, 400 patients were analyzed. Average age at admission was 62.99 ± 60.94 months, with F:M ratio of 1:1.2. Overall (from infectious and non-infectious) the most commonly affected systems were respiratory (90/400 pts., 22.5%) and central nervous system (83/400 pts., 20.75%). Most were admitted due to meningitis (44/400 pts., 11%), post-operative (43/400 pts., 10.8%) and acute glomerulonephritis (41/400 pts., 10.3%). The overall mortality rate was 8.5%. Multivariable logistic regression shows, use of inotropes (p = 0.000), need for mechanical ventilator (p = 0.007) and presence of comorbid illness (p = 0.002), infectious cause (p = 0.015) and low level of Glasgow coma scale less than eight (p = 0.04) were independent predictors of mortality. From this study, common cause of PICU admission and death was meningitis. This highlights the importance of focusing on the preventable methods in the public such as vaccine, creating awareness about hygiene, and expanding ICU for early detection and for treatment acutely ill children.Electronic supplementary materialThe online version of this article (10.1186/s13104-018-3432-4) contains supplementary material, which is available to authorized users.

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“…Patients with comorbid illness were at higher risk of mortality (p = 0.002) than those without (14.8% vs. 3.2%), which is similar to studies done in Nepal and China [12, 14, 16]. …”

Section: Discussionsupporting

confidence: 84%

Section: Discussionsupporting

confidence: 76%

Section: Discussionmentioning

confidence: 55%

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Assessment of pattern and treatment outcome of patients admitted to pediatric intensive care unit, Ayder Referral Hospital, Tigray, Ethiopia, 2015

et al. 2018

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“…(7) Majority of the patients were males (61.2%) a finding similar to that of S. Shah and K. Shah and 47.4% were infants as recorded by Haque and Bano. (8,9) This study revealed that respiratory diseases (32.3%) followed neurological disorders (17.0%), and Infection other than sepsis-(11.7%) were the major causes of admission into the PICU. S. Shah and K. Shah reported respiratory illness (33%) as the commonest indication for admission, Blessing I reported cardiovascular disease (41.1%), as the commonest indication for admission in their series while a study from Pakistan found post cardiac surgery (34%) to be the most common condition.…”

Section: Discussionmentioning

confidence: 94%

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

Mridha¹

2017

jmscr

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“…7 Majority of the patients were males (61.3%) a finding similar to that of S. Shah and K. Shah and 47.4% were infants as recorded by Haque and Bano. 8,9 This study revealed that infectious diseases (20.7%), respiratory diseases (19.1%) and central nervous system diseases (14.3%) were the major causes of admission into the PICU. S. Shah and K. Shah reported respiratory illness (33%) as the commonest indication for admission, Blessing I reported cardiovascular disease (41.1%), as the commonest indication for admission in their series while a study from Pakistan found post cardiac surgery (34%) to be the most common condition.…”

Section: Discussionmentioning

confidence: 97%

Morbidity pattern and outcome of children admitted to a paediatric intensive care unit of Eastern India

Sahoo

Patnaik

Mishra

et al. 2017

Int J Contemp Pediatr

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Background: In developing countries, there is scarce data on paediatric critical care. This makes modification of practices to improve outcome, difficult. The above study was done to highlight the lack of facilities and concept of pediatric critical in the eastern part of India so that modification of management can lead to better outcome of critically ill children.Methods: A retrospective study of the demography, clinical profile, diagnosis, treatment and outcome of children admitted to the PICU of Kalinga Institute of Medical Sciences from January 2014 to December 2015 was done. Results: A total of 848 children were admitted to the PICU with male and female children being 61.3% and 38.7% respectively. Diagnoses included infectious diseases (20.7%), respiratory disease (19.1%), central nervous system diseases (14.3%), cardiovascular diseases (10.8%), gastrointestinal diseases (7%), surgical problems (4.7%) haematological (4%), renal (3.3%), poisonings (1.4%), and others (14.3%). Out of 848 admitted children, 4.1% died and (1.4%) left against medical advice (8.5%) children received mechanical ventilation, among which (62.5%) improved, 34.7% died and 2.8% children left against medical advice. Multiorgan dysfunction syndrome (MODS) and co-morbidity were present in 25% and 22% respectively. The proportion of death among patients admitted to PICU was 4.1%.Conclusions: The leading cause of admission was infectious and respiratory diseases. Children with MODS and co-morbidity had higher mortality. The overall mortality rate in our PICU was low. We conclude, a well-equipped intensive care unit with modern and innovative facilities leads to a good outcome.

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Admission Patterns and Outcome in a Pediatric Intensive Care Unit in Nepal

Cited by 22 publications

References 13 publications

Assessment of pattern and treatment outcome of patients admitted to pediatric intensive care unit, Ayder Referral Hospital, Tigray, Ethiopia, 2015

Assessment of pattern and treatment outcome of patients admitted to pediatric intensive care unit, Ayder Referral Hospital, Tigray, Ethiopia, 2015

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

Morbidity pattern and outcome of children admitted to a paediatric intensive care unit of Eastern India

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