Profile of patients admitted to pediatric intensive care unit, Cairo University Hospital: 1-year study

Rady, Hanaa Ibrahim

doi:10.4103/1687-7934.145680

Cited by 28 publications

(39 citation statements)

References 2 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The demographic profile was consistent with previous PICU/pneumonia studies from Asian countries; where maximum admissions were from infant group and constituting males predominantly . Infants not only contributed to majority of admissions, but also had higher mortality than the rest, as in agreement with the previous reports …”

Section: Discussionsupporting

confidence: 91%

“…We also looked at the risk factors (demographic, clinical, and laboratory) for mortality among children admitted to PICU for respiratory illnesses; to foresee and monitor approaches to reduce mortality during hospitalization. Young age ( < 12 months), as proven earlier in previous reports, was confirmed as a risk factor for increased mortality . One assumption is that their vulnerable immunological defenses make them susceptible to acute infections and systemic complications necessitating hospitalizations .…”

Section: Discussionsupporting

confidence: 59%

“…This high proportion is comparable with studies from Cairo (49.6%) and Hong Kong (39.6%), however, it is much higher than the 10% to 20% reported from PICUs in India. [7][8][9][10][11][12] This regional difference in etiological distribution of admissions could be due to variations in the disease profile, disease severity, and epidemiology which govern PICU admissions. Respiratory illnesses are a common cause of morbidity in cardiovascular diseases, but since most studies classify them separately, our respiratory admissions (inclusive of cardiorespiratory cases) may seem higher.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Burden of respiratory illnesses in pediatric intensive care unit and predictors of mortality: Experience from a low resource country

Divecha¹,

Tullu²,

Chaudhary³

2019

Pediatric Pulmonology

View full text Add to dashboard Cite

Introduction and Objectives Acute respiratory infections (ARI), a major cause of childhood mortality and morbidity, place substantial burden on health services worldwide. Due to scarce data regarding respiratory illnesses requiring Pediatric intensive care unit (PICU) admissions (especially in low income/developing countries), we studied the burden of respiratory illnesses in the PICU and the risk factors contributing to mortality. Methods This prospective observational study was conducted over 18 months. Children (aged 1 month to 12 years) admitted to the PICU for acute respiratory/cardiorespiratory illnesses were enrolled. Demographic and clinical details of the study population were recorded and tabulated. Risk factors contributing to mortality (severity of illness [PRISM III score], diagnosis/etiology, need for mechanical ventilation, immunocompromised status, malnutrition, and length of stay [LOS]) were analyzed (using the χ2 test or Fischer Exact test). Results Two hundred and ninety‐three children were enrolled (median age: 5 months; range, 1‐132 months; male/female: 181/112). Mean LOS in PICU was 5.25 ± 5.48 days and mean length of hospital stay of 14.82 ± 13.35 days. Mechanical ventilation was required in 62.8% cases. Pneumonia contributed to 66.89% of respiratory admissions and 91% of mortality. Ninety patients (30.7%) died; mortality being higher in cardiorespiratory cases (52.7%). PRISM III score and shock (respiratory cases) and age below 1 year (cardiorespiratory group) were significantly associated with higher mortality ( P < 0.05). Conclusions Respiratory illnesses are a significant contributor to PICU admissions and are associated with significant mortality risk in presence of high PRISM III score and shock (respiratory group); and age below 1 year (cardiorespiratory group).

show abstract

Section: Discussionsupporting

confidence: 91%

Section: Discussionsupporting

confidence: 59%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Burden of respiratory illnesses in pediatric intensive care unit and predictors of mortality: Experience from a low resource country

Divecha¹,

Tullu²,

Chaudhary³

2019

Pediatric Pulmonology

View full text Add to dashboard Cite

show abstract

“…[18] Children <1 year of age comprised only half (46.9%) of all ad missions yet accounted for two-thirds of the deaths, with a mortality rate of 22.2% in the age group. This correlates with experience in Cairo [17] and Saudi Arabia, [11] where the highest mortality rates (43.95% and 65.6%, respectively) were found in patients <1 year of age. These facts point to increased vulnerability in this age group and probably a need to be more aggressive in their management to improve outcomes.…”

Section: Discussionsupporting

confidence: 56%

“…[16] This is lower than other middle-income countries such as Egypt (33.1%) [17] Saudi Arabia (37.4%) [11] and India (24.3%). [9] In China, however, this figure drops to 2.64%, [18] which is more in keeping with high-income countries where rates are generally <10%.…”

Section: Discussionmentioning

confidence: 93%

Factors present on admission associated with increased mortality in children admitted to a paediatric intensive care unit (PICU)

2016

View full text Add to dashboard Cite

Factors associated with mortality in pediatric pneumonia patients supported with mechanical ventilation in developing country

Meliyanti

Rusmawatiningtyas

Makrufardi

et al. 2021

Heliyon

View full text Add to dashboard Cite

Background: Pneumonia is still a major cause of death and incurs significant morbidity and mortality in developing countries. Thus, patients care does not only focus on treatment but also identifying factors that associated with the patient's outcome. Therefore we defined factors associated with mortality in pediatric pneumonia and assessed the outcome of pneumonia supported by mechanical ventilation in children. Methods: We performed cohort retrospective study by collecting data of pediatric pneumonia patients who admitted to Pediatric Intensive Care Unit (PICU) at Dr. Sardjito General Hospital, from 2014 to 2016. Chi square and multivariate logistic regression tests were used to analyze the variables: anemia, comorbidities, bacteremia, age between 1-6 months old, and underweight as associated factors for mortality. Results: One hundred and eleven children were included in this study. Those patients were diagnosed as community acquired pneumonia (79.3%), hospital acquired pneumonia (14.4%) and ventilator associated pneumonia (6.3%), with mortality rate 47.7%. Multivariate logistic regression analysis revealed that bacteremia, and underweight could be used as predictor factors of mortality for pediatric patients with pneumonia who were supported by mechanical ventilation with OR 2.5 (CI 95%: 1.03-6.1) and 2.4 (CI 95%: 1.1-5.7), respectively. Conclusion: Factors associated with mortality for pediatric patients with pneumonia who were supported by mechanical ventilation were bacteremia and underweight. It is necessary to compare our findings with other centers.

show abstract

Profile of patients admitted to pediatric intensive care unit, Cairo University Hospital: 1-year study

Cited by 28 publications

References 2 publications

Burden of respiratory illnesses in pediatric intensive care unit and predictors of mortality: Experience from a low resource country

Burden of respiratory illnesses in pediatric intensive care unit and predictors of mortality: Experience from a low resource country

Factors present on admission associated with increased mortality in children admitted to a paediatric intensive care unit (PICU)

Factors associated with mortality in pediatric pneumonia patients supported with mechanical ventilation in developing country

Contact Info

Product

Resources

About