Clinical profile and outcome of the patients admitted in PICU in tertiary hospital.

Saleem, Maria; Khurshid, Asim; Wajdan, Amna; Zafar, Muhammad Salman

doi:10.29309/tpmj/2021.28.04.6052

Cited by 2 publications

(2 citation statements)

References 8 publications

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“…This study showed that, the overall mortality rate for children was 37.7%. Regarding study by Saleem et al (10) who enrolled 150 children admitted in PICU at Pakistan, they recorded 18% as a mortality rate. Alsuheel et al (11) also conducted a study in Saudi Arabia with mortaliy rate was(37.4%) .…”

Section: Discussionmentioning

confidence: 99%

Correlation of Some RBCs and Platelets Indices with Outcome of Critically Ill Children Admitted to Pediatric Intensive Care Units

Diab¹,

Arafa²,

Ismael³

et al. 2022

The Egyptian Journal of Hospital Medicine

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Background: Platelet and Red blood cell indices ratios serve as a simple and convenient stratification tool for illness severity predictors in pediatric intensive care unit (PICU) mortality. The aim of the current study was toevaluate the ability of red cell distribution width (RDW) and platelet indices and ratios to predict mortality. Patients and methods: A prospective, observational study was conducted on 99 critically ill children of both sexes admitted to PICU of Benha University Hospitals and Benha Children Hospital (BENCH). All children incorporated in this study were subjected to careful history taking, clinical examination, complete blood count (CBC) and scoring by the third-generation pediatric index of mortality (PIM-3). Results: Our results showed that RDW, platelet counts and platelet indices ratios independently predicted PICU mortality. RDW measured within 24 hours of PICU admission was independently associated with mortality (p=0.001). Although RDW demonstrated high sensitivity (94.8 %) but low specificity (37.1%) as an independent predictor of mortality, it corresponded fairly to sensitivity and specificity of PIM-3 score in the present study. This is an important observation as a low-cost test of RDW performed nearly at par with more complex index of mortality. Regarding platelet indices, our study found that the platelet ratios [Mean platelet volume (MPV)/ plateletcrit (PCT), MPV/ platelet count, platelet differential width (PDW)/PCT, PDW/Platelet count] were better predictors of mortality than platelet indices by themselves. All the ratios of platelet indices were statistically significant (p-value <0.05). Conclusion: RDW, platelet count, and platelet indices ratios were independent predictors of PICU mortality. The predictive power of these indices was comparable to the PIM-3 score.

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Section: Discussionmentioning

confidence: 99%

Correlation of Some RBCs and Platelets Indices with Outcome of Critically Ill Children Admitted to Pediatric Intensive Care Units

Diab¹,

Arafa²,

Ismael³

et al. 2022

The Egyptian Journal of Hospital Medicine

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“…In our study, HMD was the most communal ventilation indication. In the studies of Riyas et al, Singh et [16][17] . Preterm infant apnoea is the next most important indication for ventilation with a 61.5% survival rate in our study.…”

Section: Discussionmentioning

confidence: 99%

Outcome, Clinical Profile and Risk Factors for Mortality of Neonates Necessitating Mechanical Ventilation

Naseer¹,

Farrukh²,

Masood³

et al. 2021

PJMHS

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Background: Assisted ventilation has turn out to be an essential part of the neonatal intensive care unit (NICU). It is one of the main methods of support in the ICU and undoubtedly influences the survival of sick newborns. Aims: 1. To investigate common indications for mechanical ventilation in newborns 2. To investigate factors influencing the outcome. Method: It is a descriptive study of 60 infants admitted to the Department of Pediatric Medicine in the ICU over a one-year period in the department of Paediatrics, Abbasi Shaheed Hospital. The information was gathered and analysed in a pre-designed format. Results: Of a total of 60 infants, 46 survived, 14 died, and one infant was discharged despite medical advice. 36 children were born vaginally, 20 were born via LSCS, and 4 via assisted delivery. Postnatal asphyxia was the most common ventilation indication in full-term newborns, while HMD was present in preterm infants. The best results were obtained in ventilated infants with MAS, with 100% survival, followed by apnoea in premature infants, perinatal asphyxia, and HMD. Pulmonary haemorrhage (48.3%) was the most common complication among deceased infants, followed by sepsis (28.3%) and shock (23.4%) with a significant p <0.05. There were no complications in 76.7% of the surviving infants. Conclusions: Among the many widely available variables studied in this study, maximum and mean peak inspiratory pressure (PIP or (PEEP), maximum respiratory rate, maximum mean airway pressure (MAP) and average ventilation demand was much greater among non-survivals in comparison to the survivors. Bicarbonate, PH and excess base have been found to be important determinants of mortality in ventilated newborns. Keywords: Indications, mechanical ventilation and Results

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Clinical profile and outcome of the patients admitted in PICU in tertiary hospital.

Cited by 2 publications

References 8 publications

Correlation of Some RBCs and Platelets Indices with Outcome of Critically Ill Children Admitted to Pediatric Intensive Care Units

Correlation of Some RBCs and Platelets Indices with Outcome of Critically Ill Children Admitted to Pediatric Intensive Care Units

Outcome, Clinical Profile and Risk Factors for Mortality of Neonates Necessitating Mechanical Ventilation

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