Demographic profile and outcome analysis of a tertiary level pediatric intensive care unit.

Simple item page
dc.contributor.authorKhilnani, Praveenen_US
dc.contributor.authorSarma, Devajiten_US
dc.contributor.authorSingh, Reetaen_US
dc.contributor.authorUttam, Rajiven_US
dc.contributor.authorRajdev, Shiven_US
dc.contributor.authorMakkar, Archanaen_US
dc.contributor.authorKaur, Jyotinderen_US
dc.date.accessioned2004-07-29en_US
dc.date.accessioned2009-05-30T13:25:24Z
dc.date.available2004-07-29en_US
dc.date.available2009-05-30T13:25:24Z
dc.date.issued2004-07-29en_US
dc.description.abstractOBJECTIVE: To study the profile and outcome of children admitted to a tertiary level pediatric intensive care unit (PICU) in India. METHODS: Prospective study of patient demographics, PRISM III scores, diagnoses, treatment, morbidity and mortality of all PICU admissions. RESULTS: 948 children were admitted to the PICU. Mean age was 41.48 months. Male to female ratio was 2.95:1. Mean PRISM III score on admission was 18.50. Diagnoses included respiratory (19.7%), cardiac (9.7%), neurological (17.9%), infectious (12.5%), trauma (11.7%), other surgical (8.8%).196 children (20.68%) required mechanical ventilation. Average duration of ventilation was 6.39 days. 27 children (30.7 children /1000 admissions) had acute respiratory distress syndrome. Gross mortality was 6.7% (59 patients). PRISMIII adjusted mortality was directly proportional to PRISMIII scores. 49.5% of nonsurvivors had multiorgan failure. Average length of PICU stay was 4.52 +/- 2.6 days. Complications commonly encountered were atelectasis (6.37%), accidental extubation (2%), and pneumothorax (0.9%). Incidence of nosocomial infections was 16.86%. CONCLUSION: Our data appears to be similar with regards to PRISMIII scores and adjusted mortality, length of the PICU stay, and duration of ventilation, to previously published western data. Multiorgan failure remains a major cause of death. As expected, Dengue and malaria were common. Incidence of nosocomial infections was somewhat high. Interestingly, more boys got admitted to the PICU as compared to girls. Clearly more studies are required to assess the overall outcomes of critically ill children in India.en_US
dc.description.affiliationApollo Center for Advanced Pediatrics, I P Apollo Hospital, New Delhi, India. pkhilnani@vsnl.comen_US
dc.identifier.citationKhilnani P, Sarma D, Singh R, Uttam R, Rajdev S, Makkar A, Kaur J. Demographic profile and outcome analysis of a tertiary level pediatric intensive care unit. Indian Journal of Pediatrics. 2004 Jul; 71(7): 587-91en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/81671
dc.language.isoengen_US
dc.source.urihttps://medind.nic.in/icb/icbai.shtmlen_US
dc.subject.meshCause of Deathen_US
dc.subject.meshChilden_US
dc.subject.meshChild, Preschoolen_US
dc.subject.meshCross Infection --epidemiologyen_US
dc.subject.meshDemographyen_US
dc.subject.meshFemaleen_US
dc.subject.meshHospital Mortalityen_US
dc.subject.meshHumansen_US
dc.subject.meshIndia --epidemiologyen_US
dc.subject.meshInfanten_US
dc.subject.meshInfant, Newbornen_US
dc.subject.meshIntensive Care Units, Pediatric --statistics & numerical dataen_US
dc.subject.meshMaleen_US
dc.subject.meshOutcome Assessment (Health Care)en_US
dc.subject.meshProspective Studiesen_US
dc.subject.meshRespiration, Artificial --statistics & numerical dataen_US
dc.titleDemographic profile and outcome analysis of a tertiary level pediatric intensive care unit.en_US
dc.typeJournal Articleen_US
Files
License bundle
Now showing 1 - 1 of 1
No Thumbnail Available
Name:
license.txt
Size:
1.79 KB
Format:
Plain Text
Description:
Download
Collections
Indian Journal of Pediatrics