A Retrospective Analysis of Patients Monitored in a Pediatric Intensive Care Unit and an Investigation of Factors Affecting Mortality
Journal Title: Çocuk Acil ve Çocuk Yoğun Bakım Dergisi - Year 2016, Vol 3, Issue 3
Abstract
Introduction: The purpose of this study was to retrospectively evaluate patients admitted to the pediatric intensive care unit in order to determine the mortality data of our clinic and to identify the risk factors that affect mortality. Methods: The data of 454 patients aged 1 month-18 months hospitalized for more than 24 hours at the pediatric intensive care unit between December 1, 2013, and June 30, 2015 were retrospectively evaluated by using the hospital records. Results: Of the 454 patients included in the study, 220 patients (48.5%) were female and 234 were male (51.5%). The most common reason for admission to the pediatric intensive care unit was respiratory system diseases (110 patients, 24.2%). A total of 213 (46.9%) patients had also a concurrent chronic disease during their stay at the pediatric intensive care unit. One hundred thirty four (29.5%) of the patients required mechanical ventilation, and the average duration of mechanical ventilation was 13 days (1-114). Thirty (22.3%) of these patients were identified as having developed complications related to mechanical ventilation. The mortality rate was found to be higher in patients requiring vasoactive drug support (p<0.05). However, the presence of chronic disease was found to have higher effect on mortality than the need for vasoactive drug support (p<0.05). According to the evaluation of the mortality scoring, the Pediatric Risk of Mortality (PRISM) score of patients who died was statistically higher (9.1±7.6) than that of other patients (p<0.001). It was determined that mortality rate was significantly increased in patients requiring blood and blood products (p<0.01). The mortality rate at our pediatric intensive care unit was determined as 15.6%. Conclusion: Logistic regression analysis of the factors that affect mortality indicated that the need for mechanical ventilation support, higher PRISM scores, and the need for blood/blood product transfusions statistically significantly increased the mortality rate.
Authors and Affiliations
Fatma Zehra Kılıç, Yasemin Çoban, Mehmet Davutoğlu, Tahir Dalkıran
Keywords
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