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

Cansu Durak; Ebru Şahin; Yasar Yusuf Can; Kübra Boydağ Güvenç; Alican Sarısaltık; Fatih Varol; Halit Cam

Makale detayları

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

Yazarlar:

Cansu Durak | Ebru Şahin | Yasar Yusuf Can | Kübra Boydağ Güvenç | Alican Sarısaltık | Fatih Varol | Halit Cam

Yayıncı:

MediHealth Academy Yayıncılık

Ana Başlıklar:

Çocuk Yoğun Bakımı | Sağlık Kurumları Yönetimi

Dergi:

Journal of Medicine and Palliative Care Vol.4 Issue 3, pp.224-228

Belge Tipi:

Makale

Yayın Tarihi:

6/2023

Belge Dili:

İngilizce

Document ID (Org No.):

2001292902

pISSN:

2717-7505

Anahtar kelimeler:

Özet:

 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 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 aliveexpired were analyzed. Results: A total of 456 patients were analyzed, of which 258 56.6 were males and 198 43.4 were females. The median length of stay in the PICU was 5 days 1-114. Respiratory diseases 43.2 were the most common reasons for admission to the PICU, followed by sepsis 13.2, and neurological diseases 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 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.

 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 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 aliveexpired were analyzed. Results: A total of 456 patients were analyzed, of which 258 56.6 were males and 198 43.4 were females. The median length of stay in the PICU was 5 days 1-114. Respiratory diseases 43.2 were the most common reasons for admission to the PICU, followed by sepsis 13.2, and neurological diseases 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 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.

 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 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 aliveexpired were analyzed. Results: A total of 456 patients were analyzed, of which 258 56.6 were males and 198 43.4 were females. The median length of stay in the PICU was 5 days 1-114. Respiratory diseases 43.2 were the most common reasons for admission to the PICU, followed by sepsis 13.2, and neurological diseases 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 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.

 Amaç: Üçüncü basamak çocuk yoğun bakım ünitesine ÇYBÜ yatırılan kritik hasta çocukların klinik spektrumunu ve sonuçlarını bildirerek, ÇYBÜ ihtiyacında etkili olabilecek faktörleri değerlendirmek, erken tanı ve tedavi yanıtına yardımcı olarak olası ÇYBÜ ihtiyacı.hasta sayısını azaltmayı amaçladık. Gereç ve Yöntem: Sancaktepe Şehit Prof. Dr. İlhan Varank Eğitim ve Araştırma Hastanesinde Şubat 2022-Ocak 2023 tarihleri arasında ÇYBÜye kritik hastalıklarla başvuran 1 ay-18 yaş arası tüm çocukların dahil edildiği tanımlayıcı tipte bir çalışma yapılmıştır. Demografik veriler, klinik değişkenler ve sonuç verileri canlıölü analiz edildi. Bulgular: 258 56,6 erkek ve 198 43,4 kadın olmak üzere toplam 456 hasta analiz edildi. ÇYBÜde ortanca kalış süresi 5 gündü 1-114. Yoğun bakım ünitesine en sık başvuru nedeni solunum yolu hastalıkları 43,2, bunu sepsis 13,2 ve nörolojik hastalıklar 13,8 izledi. Yaş veya cinsiyetle ilişkisi olmayan 6,1lik bir ölüm oranı gözlemledik. Mortalite için risk faktörü olarak bulunan değişkenler PRISM III skoru, sepsis ve akut böbrek yetmezliği varlığı, mekanik ventilasyon gereksinimi, inotropik ajan kullanımı, sürekli renal replasman tedavisi ve terapötik plazma değişimi gereksinimi ve yatış süresi idi p  0.001. Sonuç: ÇYBÜye kabul edilen hastaların profili, yoğun bakım için özel protokoller geliştirmek ve ÇYBÜlerin kaynaklarını yeniden dağıtmak için bir temel oluşturabilir.

Makale detayları

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

Yazarlar:

Cansu Durak | Ebru Şahin | Yasar Yusuf Can | Kübra Boydağ Güvenç | Alican Sarısaltık | Fatih Varol | Halit Cam

Yayıncı:

MediHealth Academy Yayıncılık

Ana Başlıklar:

Çocuk Yoğun Bakımı | Sağlık Kurumları Yönetimi

Dergi:

Journal of Medicine and Palliative Care Vol.4 Issue 3, pp.224-228

Belge Tipi:

Makale

Yayın Tarihi:

6/2023

Belge Dili:

İngilizce

Document ID (Org No.):

2001292902

pISSN:

2717-7505

Critical illness

intensive care unit

mechanical ventilation

mortality

sepsiskritik hastalık

epidemiyoloji

yoğun bakım ünitesi

Sayı

Makale detayları

Yazarlar: Cansu Durak | Ebru Şahin | Yasar Yusuf Can | Kübra Boydağ Güvenç | Alican Sarısaltık | Fatih Varol | Halit Cam

Yayıncı: MediHealth Academy Yayıncılık

Ana Başlıklar: Çocuk Yoğun Bakımı | Sağlık Kurumları Yönetimi

Dergi: Journal of Medicine and Palliative Care Vol.4 Issue 3, pp.224-228

Belge Tipi: Makale

Yayın Tarihi: 6/2023

Belge Dili: İngilizce

Document ID (Org No.): 2001292902

pISSN: 2717-7505

Sayı

Yazarlar:

Cansu Durak | Ebru Şahin | Yasar Yusuf Can | Kübra Boydağ Güvenç | Alican Sarısaltık | Fatih Varol | Halit Cam

Yayıncı:

MediHealth Academy Yayıncılık

Ana Başlıklar:

Çocuk Yoğun Bakımı | Sağlık Kurumları Yönetimi

Dergi:

Journal of Medicine and Palliative Care Vol.4 Issue 3, pp.224-228

Belge Tipi:

Makale

Yayın Tarihi:

6/2023

Belge Dili:

İngilizce

Document ID (Org No.):

2001292902

pISSN:

2717-7505