Outcome of pediatric intensive care at six centers in Mexico and Ecuador

Earle, Morris; O, Martinez Natera; Zaslavsky, Alan M.; Quiñones, Ernesto; H, Carrillo; E, Garcia Gonzalez; Torres, Adalberto; Mp, Marquez; García-Montes, José Antonio; Zavala, Inés; Garcia-Davila, R; Id, Todres

doi:10.1097/00003246-199709000-00011

Cited by 55 publications

(36 citation statements)

References 11 publications

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“…Infants and preschool-aged children between the ages of 1 and 4 years were most frequently admitted, which is similar to results found in previous studies (8)(9)(10)(15)(16)(17)(18) . The overall mortality rate in the current study was 1.85%, which is both lower (8)(9)(15)(16)(17)(18)(19) and similar (11) to the (20) , although more recent studies have reported mortality rates below 5% (11) , and these differences emphasize the need for the collection of continuous and localized measurements. The average age of the patients who died at the PICC was 8.9 years, which is higher than that reported by Sands et al (3.1 years of age), although the quartile in this study ranged from 0.61 to 10.6 years of age.…”

Section: Discussionsupporting

confidence: 89%

“…The average age of the patients who died at the PICC was 8.9 years, which is higher than that reported by Sands et al (3.1 years of age), although the quartile in this study ranged from 0.61 to 10.6 years of age. Similar to the results of a study in the UK, neoplasms were the primary diagnosis for most of the children who died in the PICC (19) , whereas a study by Earle et al found that pneumonia was the main cause of death among patients in PICUs in Mexico and Ecuador (18) . This study analyzed the epidemiological data of patients who were admitted to the PICC at HIAE and compared these findings to those of other studies published in the literature.…”

Section: Discussionsupporting

confidence: 71%

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The epidemiological profile of Pediatric Intensive Care Center at Hospital Israelita Albert Einstein

Lanetzki

Oliveira

Bass

et al. 2012

Einstein (São Paulo)

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Objective: This study outlined the epidemiological profiles of patients who were admitted to the Pediatric Intensive Care Center at Albert Einstein Israelite Hospital during 2009. Methods: Data were retrospectively collected for all patients admitted to the PICC during 2009. A total of 433 medical charts were reviewed, and these data were extracted using the DATAMARTS System and analyzed using the statistical software package STATA, version 11.0. Results: There were no statistically significant differences in regards to patient gender, and the predominant age group consisted of patients between the ages of 1 to 4 years. The average occupancy rate was 69.3% per year, and there was a greater number of admissions during April, August, and October. The average length of stay at the hospital ranged from 9.7 to 19.1 days. Respiratory diseases were the main cause for admission to the Pediatric Intensive Care Center, and the mortality rate of the patients admitted was 1.85%. Conclusions: Respiratory diseases were the most common ailment among patients admitted to the Pediatric Intensive Care Center, and the highest mortality rates were associated with neoplastic diseases.

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Section: Discussionsupporting

confidence: 89%

Section: Discussionsupporting

confidence: 71%

The epidemiological profile of Pediatric Intensive Care Center at Hospital Israelita Albert Einstein

Lanetzki

Oliveira

Bass

et al. 2012

Einstein (São Paulo)

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“…In a French multicentric study, the percentage of children requiring mechanical ventilation was 64 %, central venous catheterization 42 % and arterial catheterization 23 %. These findings were higher than those found in the present study, probably due to the inclusion of more severe pathology, as evidenced by a mortality of 13 % ± double that found in this study [16,17].…”

Section: Discussioncontrasting

confidence: 85%

Study of paediatric intensive care units in Spain

López‐Herce

Sancho

Martinon³

2000

Intensive Care Med

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“…This can be achieved by well-equipped and well-staffed intensive care units. 1,2 But despite all measures, ICU is one of the sites where medical errors are most likely to occur because of the complexity of the diseases, and multiple interventions. 3,4 With the advancement in intensive care facilities, there is a dramatic increase in survival of critically ill children.…”

Section: Introductionmentioning

confidence: 99%

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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Outcome of pediatric intensive care at six centers in Mexico and Ecuador

Cited by 55 publications

References 11 publications

The epidemiological profile of Pediatric Intensive Care Center at Hospital Israelita Albert Einstein

The epidemiological profile of Pediatric Intensive Care Center at Hospital Israelita Albert Einstein

Study of paediatric intensive care units in Spain

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

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