Predictors of Mortality in Acutelly Ill Children Admitted To the Paediatric Intensive Care Unit
Journal Title: International Journal of Medical Science and Innovative Research (IJMSIR) - Year 2017, Vol 2, Issue 3
Abstract
Background: Mortality is the most frequently assessed outcome. So, it is very important to look for the predicting factors of PICU mortality including PRISM III score. Aim: To assess the risk factors contributing to the increased mortality in our PICU. Material and methods: This is a prospective observational study done at Narayana Hrudayalaya Multispecialty Hospital, Bangalore, India .Standard demographic, clinical and laboratory data was obtained prospectively from all the patients stayed in PICU for >6 hours. Patients who had history of chronic disease were excluded. Patient’s hospital course followed to determine the early outcome of their acute sickness (as dead or survived). Results: Out of 144 patients admitted to the PICU, 16 (11.1%) patients died. Children with acute respiratory distress syndrome at admission were at 3 times higher risk of death (adjusted OR: 3.44, 95% CI: 0.992-11.952). Children with PRISM III scores of >10 were at 6 folded higher risk of death in the PICU (adjusted OR: 6.47, 95% CI: 0.743-56.340). Children with Acute kidney injury, acute liver failure and MODS were at 2 fold higher risk of death with the values of adjusted OR: 2.118, 95% CI: 0.508-8.839, OR: 2.130, 95% CI: 0.561-8.077 and OR: 2.066, 95% CI: 0.292-14.640 subsequently. Conclusion:- In addition to PRISM III score ARDS,Acute kidney injury, Acute liver failure, MODS and haemodialysis were also found to be significant but not independent predictors of mortality in PICU.
Authors and Affiliations
Dr Shweta Pathak
Keywords
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