Indications and outcome of ventilated children in a Pediatric Intensive Care Unit of tertiary care hospital: A retrospective study
Journal Title: Indian Journal of Child Health - Year 2018, Vol 5, Issue 4
Abstract
Introduction: Mechanical ventilation (MV) is frequently used as one of the most frequent life-supportive technology in Pediatric Intensive Care Units (PICUs). Objectives: The objectives of this study are to assess the frequency, indications, and immediate outcomes in mechanically ventilated pediatric patients in the tertiary care center of developing country. Materials and Methods: A retrospective observational study was conducted among critically ill pediatric patients admitted in PICU of our institute, who required MV over the 2-year period. SPSS Software Version 22.0 was used for the statistical analysis. Quantitative data were analyzed using mean and standard deviation, and Chi-square test was used for comparing differences between categorical variables. Results: A total of 1735 patients were admitted to PICU, and 9.11% of them required MV support. The mean age in years was 1±0.8 years. The male/female ratio was 1.03:1. Common indications for MV were neurological (30.18%) followed by respiratory diseases (27.67%) and cardiac diseases (11.32%). The mean length of MV was 72±04 h in our hospital. The mortality rate of children with MV (65.4%) was more as compared to the overall mortality rate in PICU (5.76%). The improvement rate was 20.72% and 14% children left against medical advice. Conclusions: About 9.16% of PICU admissions required MV, with most common indication being neurological illness followed by respiratory and cardiac. Severe acute malnutrition and ventilator-associated pneumonia were associated with high mortality.
Authors and Affiliations
Sachins Hatti, Vinod Uplaonkar, Charanraj Hunnalli
Keywords
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