The Retrospective Evaluation of the Patients in Pediatric Cardiac Intensive Care Unit of Cardiac Surgery Center
Journal Title: Çocuk Acil ve Çocuk Yoğun Bakım Dergisi - Year 2019, Vol 6, Issue 1
Abstract
Introduction: In this study, demographic and epidemiologic features, clinic and prognosis of patients admitted to the pediatric cardiac intensive care (PCICU) unit of a cardiac surgery center were analysed retrospectively. Methods: Patients followed in the PCICU between January 2017 and January 2018 were included in the study. Patient files were analysed for medical data. The patients were divided into 4 major categories as postoperative patients (group 1), patients followed after cardiac catheterization (group 2), patients followed due to arrythmias (group 3), and others (myocarditis, pneumonia, tamponade) (group 4). The demographic variables, such as age and gender, echocardiographic diagnosis, kind and condition of the transfer, reason for PCICU follow-up, and discharge status were evaluated in detail. Results: Eighty hundred ninety five patients were followed in the PCICU during the study period.The median age was 5.5 months (1 day-18 years). 53% of patients (n=474) were male and 47% (n=421) were female. The ortanca weight of the patients was 7.2 kg (1.8-80 kg). 16% of the patients were younger than 1 month of age and 54% of the patients were under the age of 6 months. 12% (n=107) of the patients had a diagnosis of a genetic condition such as Down syndrome, DiGeorge syndrome, etc. 40% of the patients were non-residents. 25% was transferred by air ambulance or ground ambulance. 22% of the patients were foreigners. There were 610 patients in group 1, 130 patients in group 2, 55 patients in group 3, and 100 patients in group 4. The RACHS-1 scores in group 1 were as follows: 0.8% undetermined, 11.2% category 1, 42.9% category 2, 29.6% category 3, 12.6% category 4,(-) category 5, and 2.6% category 6. Overall mortality was 5.9% (n=53) and morbidity was 22% (n=197). Conclusion: We believe that by the means of this kind of epidemiological studies, we may detect the types of cardiac problems in children who needed intensive care follow-up and help to decrease mortality and morbidity in childhood due to congenital cardiac diseases in our country.
Authors and Affiliations
Erkut Öztürk, Taner Kasar, Okan Yıldız, Alper Güzeltaş, Sertaç Haydin
Keywords
Related Articles
- EP ID EP539057
- DOI 10.4274/cayd.galenos.2018.60783
- Views 80
- Downloads 0
Impact of Country-Wide Power Failure in Turkey to the Technology Dependent Children in Home: Pediatric Emergency Experience
.
Retrospective Evaluation of Patients Admitted to the Pediatric Emergency Department with Intoxication
Introduction: In this study, we aimed to retrospectively analyze the demographic and epidemiologic features, clinical course, laboratory results and prognoses of the patients admitted to the department of pediatric emerg...
Comparative Evaluation of the Development of the Children Living with Their Mother in the Prison
Objectives: The study was a descriptive study which designed to compare the development of children who were living with their parents and who were living with their mothers in prison. Materials and Methods: A total of 8...
Retrospective Analysis of Childhood Poisoning
Introduction: Poisonings are common and preventable environmental emergencies requirin rapid diagnosis and treatment in the pediatric age group. The epidemiological and clinical characteristics of poisoning patients were...
Pediatric Fractures Secondary to Trampoline Injury: A Prospective Analysis of User Circumstances and Injury Severity with Respect to American Academy of Pediatrics Policy Statement
Introduction: The purpose of this study was to prospectively analyze injury patterns and severity with respect to American Academy of Pediatrics/Council on Sports Medicine and Fitness (AAP/CSMF) safety guidelines, and to...