The Evaluation of Patients Admitted to the Pediatric Intensive Care Unit of a Training and Research Hospital

Çolak, Hasan; Bayraktar, Süleyman; Elevli, Murat; Duru, Nilgün Selçuk; Çivilibal, Mahmut; Şahin, Kamil

doi:10.5505/cayb.2015.35220

Cited by 3 publications

(3 citation statements)

References 8 publications

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“…The mortality rates in PICUs worldwide vary between 2.9% and 5.6% [16][17][18][19]. These rates have decreased from 14% to 2.4-8.8% in developed countries [3,4]. We found a mortality rate of 3.7%, which is similar to the world average.…”

Section: Discussionsupporting

confidence: 73%

“…Morbidity and mortality rates in patients admitted to the PICU are higher than in other pediatric patients, because of the worse clinical picture [1][2][3]. In our country, few studies have evaluated the findings of children treated in the PICU [1,[3][4][5][6]. Sharing the experience obtained from these studies may not only benefit the planning of educational programs but will also help to improve the health care services given in intensive care units [4].…”

Section: Introductionmentioning

confidence: 99%

“…In our country, few studies have evaluated the findings of children treated in the PICU [1,[3][4][5][6]. Sharing the experience obtained from these studies may not only benefit the planning of educational programs but will also help to improve the health care services given in intensive care units [4]. In PICU patients with a severe clinical course, there are several markers that can reveal the severity of inflammation, but they are expensive and difficult to work with.…”

Section: Introductionmentioning

confidence: 99%

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Platelet-lymphocyte ratio in predicting mortality of patients in pediatric intensive care unit

Mısırlıoğlu¹

2018

Ann Clin Anal Med

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Aim: Patients in the PICU have high rates of mortality. In this study we researched whether platelet-lymphocyte ratio (PLR), in addition to other scoring methods, is an early predictor of mortality risk in PICU patients. Material and Method: The patient files of children hospitalized in the PICU between 2014 and 2015 were examined. Results: A total of 670 patients were included (46.9% girls and 53.1% boys). 25 (3.7%) of these children died. In patients who died, the GCS was below 9, and PRISM, PELOD, and PIM2 scores were above 12, 7, and 90, respectively (p<0.001 for each factor). Significant cut-off values were 2 (p<0.001) for lactate (100% sensitivity, 64.3% specificity) and 3.9 (p<0.001) for PLR (80% sensitivity, 68.9% specificity). Diagnoses such as hematological-oncological diseases, sepsis, or multi-organ failure in children admitted to the PICU were factors affecting mortality (p=0.001, p=0.008, and p<0.001, respectively). Other factors affecting mortality were found to be high PIM2 scores (p=0.041), hyperlactatemia (p<0.001), and high PLR (p<0.001). Discussion: In addition to known scoring methods, PLR is a beneficial predictive factor of mortality rate in PICU patients.

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Section: Discussionsupporting

confidence: 73%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Platelet-lymphocyte ratio in predicting mortality of patients in pediatric intensive care unit

Mısırlıoğlu¹

2018

Ann Clin Anal Med

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Evaluation of Pediatric Risk of Mortality Score III (PISM III) and Pediatric Logistic Organ Dysfunction (PELOD) Scores in pediatric intensive care unit

Alakaya

Arslanköylü

2020

Mersin Üniversitesi Sağlık Bilimleri Dergisi

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Amaç: Bu çalışmanın amacı çocuk yoğun bakım ünitesine yatırılan hastaların Pediatric Risk of Mortality Score III(PRISM III) ve Pediatric Logistic Organ Dysfunction(PELOD) skorları ile hastaların karakteristik özelliklerinin kıyaslanması ve bu skorların eksitus ve hayatta kalma oranlarını göstermedeki başarısını araştırmaktır. Yöntem: Mart 2017-Mart 2018 tarihleri arasında çocuk yoğun bakım ünitesine yatırılan toplam 372 hasta çalışmaya alınmıştır. Hastaların cinsiyeti, yaşı, yatış nedeni, altta yatan hastalık, cerrahi olup olmaması, PRISM III, PELOD skorları, ilk 24 saatte mekanik ventilatör izlemi, ilk 24 saat içinde transfüze edilip edilmemesi, yatış hemogram değerleri ve hastanın eksitus olup olmaması sonuçları kaydedildi. Bulgular: Hastaların 188'i kız (%50.5), 184'ü erkek (%49.5) ti. Yaş ortalamaları 48 (12-144) ay olarak hesaplanmıştır. %92.2'si servise devir veya taburcu edilirken %7.8'i eksitus olmuştu. PRISM III ve PELOD değerleri eksitus olan hastalarda anlamlı derecede yüksek (p<0.001) iken medyan değeri PRISM III ve PELOD için eksitus olan hastalarda 12 olarak saptanmıştır. Ortalama yoğun bakım yatış süresi bu süreçte 4 (3-9) gün olup altta yatan hastalığı olanlarda ortalama 5 (3-12) gün olarak hesaplanmıştır. PRISM III ün spesifitesi %67.35 iken sensitivitesi %89.66, PELOD içinse spesifite %93.86, sensitivite %51.7 saptandı. Sonuç; PRISM III skoru mortaliteyi, PELOD skoru morbidiyeti tahmin etmede güçlü skorlardır. PRISM III ve PELOD skorları çocuk yoğun bakım ünitelerinde mortalite ve morbiditeyi öngörmede kullanılabilir.

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Evaluation of the Demographic and Clinical Characteristics of Patients Followed up a Tertiary Pediatric Intensive Care Unit

ÇETİN

Laloğlu

Ceviz

et al. 2022

Sakarya Medical Journal

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Objective: To evaluate the demographic and clinical characteristics of the patients that presented to our pediatric intensive care unit (PICU) between January 1, 2016 and December 31, 2018 and were followed up for at least 24 hours. Materials and Methods: In this study, 876 admission files of patients who were followed up at PICU between January 01, 2016 and December 31, 2018 were examined. The data of 751 admissions belonging to 640 patients with complete archive records and patient information forms were included in the study. Results: Forty-three percent of the 640 patients were female, and 32.4% of the total 751 admissions were referrals from different hospitals in our city or region for advanced intensive care. Although all cases requiring intensive care, internal or surgical, were hospitalized, the most common reason for admission was infectious diseases. Parameters individually associated with mortality were the presence of chronic disease, need for mechanical ventilation, need for blood products, need for inotropic support, and need for renal replacement therapy. None of the patients who were followed up due to poisoning and airway obstruction died. The highest mortality rate was seen in the hematological-oncological patient group, including end-stage cases. Conclusion: Our PICU provides an important health service in our region for all critically ill children. The mortality rates were within the values reported for Turkey. To obtain better outcomes, it is necessary to strengthen medical staff in our clinic and develop the palliative care centers in our region.

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The Evaluation of Patients Admitted to the Pediatric Intensive Care Unit of a Training and Research Hospital

Cited by 3 publications

References 8 publications

Platelet-lymphocyte ratio in predicting mortality of patients in pediatric intensive care unit

Platelet-lymphocyte ratio in predicting mortality of patients in pediatric intensive care unit

Evaluation of Pediatric Risk of Mortality Score III (PISM III) and Pediatric Logistic Organ Dysfunction (PELOD) Scores in pediatric intensive care unit

Evaluation of the Demographic and Clinical Characteristics of Patients Followed up a Tertiary Pediatric Intensive Care Unit

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