Profile of critically ill childrenin the pediatric intensive care unit: a tertiary-care single-center experience

Authors : Cansu DURAK, Ebru ŞAHİN, Yasar Yusuf CAN, Kübra BOYDAĞ GÜVENÇ, Alican SARISALTIK, Fatih VAROL, Halit CAM

Pages : 224-228

View : 23 | Download : 46

Publication Date : 2023-06-28

Article Type : Research Paper

Abstract :Aims: The aim of this study was to present a comprehensive overview of the clinical spectrum and outcomes of critically ill pediatric patients admitted to a tertiary-level pediatric intensive care unit insert ignore into journalissuearticles values(PICU);. Furthermore, we aimed to assess potential factors that could influence the requirement for PICU admission. The findings of this study may aid in the prompt identification and management of critically ill pediatric patients, thereby reducing the likelihood of PICU admission. Methods: This descriptive study investigated the presentation of critical illness among pediatric patients aged between 1 month-18 years old admitted to the PICU was conducted in Sancaktepe Sehit Prof. Dr. İlhan Varank Training and Research Hospital, from February 2022 to January 2023. Demographic data, clinical variables, and outcome data insert ignore into journalissuearticles values(alive/expired); were analyzed. Results: A total of 456 patients were analyzed, of which 258 insert ignore into journalissuearticles values(56.6%); were males and 198 insert ignore into journalissuearticles values(43.4%); were females. The median length of stay in the PICU was 5 days insert ignore into journalissuearticles values(1-114);. Respiratory diseases insert ignore into journalissuearticles values(43.2%); were the most common reasons for admission to the PICU, followed by sepsis insert ignore into journalissuearticles values(13.2%);, and neurological diseases insert ignore into journalissuearticles values(13.8%);. We observed a mortality rate of 6.1%, with no association with age or sex. Variables found to be risk factors for mortality were PRISM III score, presence of sepsis and acute renal failure, the requirement for mechanical ventilation, use of inotropic agents, continuous renal replacement therapy and therapeutic plasma exchange requirement, and length of stay insert ignore into journalissuearticles values(p < 0.001);. Conclusion: The profile of patients admitted to the PICU can serve as a basis for developing dedicated protocols for critical care and redistributing the PICUs’ resources.
Keywords : kritik hastalık, epidemiyoloji, yoğun bakım ünitesi