Pattern and Outcome of Severe Childhood Unintentional Injuries from Pediatric Intensive Care Unit
Journal Title: Journal Of Pediatric Critical Care - Year 2017, Vol 4, Issue 3
Abstract
Introduction: Childhood unintentional injuries (CUI) carry high morbidity and mortality. Little is known about epidemiology of CUI in PICU, their course and outcome. We report experience of CUI at our center. Methods: Retrospective review of medical records of children (1 mo- 16 years) admitted in PICU between Jan 2009-Dec 2014 with admitting diagnosis of unintentional injury was done. Data collected included age, gender, category and mechanism of injury, type of trauma, body region affected, place of injury, presentation, initial baseline laboratory workup, intervention done in the ER and PICU, length of stay and outcome. Results are presented as frequency/ percentages and mean ±SD. Results: A total 103 patients were admitted with the diagnosis of severe injury, 67% (69/103) were males and mean age was 90±55 months. Trauma was the major category (88%, 91/103) with road traffic accidents (RTA) comprising 37% (38/91) and fall 29% (30/91). 8 patients had poisoning, 91% (83/91) blunt trauma and 70% (64/91) had single body region involvement, isolated head being involved in 55% (50/94). 78% (81/103) of the injuries were witnessed. Coma was the main presentation in 36% (37/103) children, shock in 25% (26/103), respiratory problem in 22% (23/103), and, 67% were intubated in ER, CPR was done in 2 patient, 83.5% (86/103) patients needed mechanical ventilation, 77% (80/103) needed inotropic support and surgical intervention was done 64% of patients. PICU length of stay was 6±3 days and case fatality rate was 21% (22/103) compared to overall mortality rate of 12% during the same period. Conclusion: Severe injuries consume a lot of PICU resources and are associated with high mortality.
Authors and Affiliations
Qalab Abbas, Mohammad Mohsin, Humaira Jurair, Anwar ul Haque
Keywords
Related Articles
- EP ID EP336201
- DOI 10.21304/2017.0403.00204
- Views 53
- Downloads 0
Biomarkers in Sepsis
Sepsis in children is a global problem causing signifi cant mortality and morbidity. Early identifi cation and prompt treatment is the key to better survival. Sometimes the symptoms are not clear cut and culture sensitiv...
To Study The Differential Profile of Immunological Markers in Pediatric Bacterial Meningitis and Acute Meningoencephalitis
.
Vasopressors in Septic Shock
Severe sepsis and septic shock are complications of infection leading to high morbidity and mortality. Hemodynamic outcomes are considered surrogate markers for survival- an ultimate goal of treatment strategies. The goa...
Common problems and troubleshooting on ECMO run
The technological advances in ECMO have changed to enhance safety, accessibility and facilitate its use, contributing to decreased morbidity and improved survival of patients requiring ECMO support. Major advances in ECM...
Unusual Cause of Renal Failure in Infancy: Primary hyperoxaluria
Background: Primary hyperoxaluria is a rare disease characterized by the excessive production and accumulation of oxalate in the body. Methods: We described the case of an infant with primary hyperoxaluria type who had...