Demographic profile and outcome analysis in paediatric intensive care unit at tertiary care hospital in the sub-Himalayan region
DOI:
https://doi.org/10.18203/2349-3291.ijcp20203651Keywords:
Demography, Pediatric intensive care, Mortality, Meningo encephalitisAbstract
Background: Care of critically ill children continues to be one of the most challenging aspects of the field of paediatrics. Our study therefore, was done to see the demographic and morbidity pattern of the disease at a tertiary care hospital in the Sub Himalayan region and also the modifications that can lead to better outcomes.
Methods: This was a retrospective record-based study which reviewed the admissions in to the PICU of tertiary care centre in the Sub Himalayan region of North Bengal for a period of 2 years (April 2018 to April 2020) with age group more than one month to twelve years of age from both medical and surgical sub-specialties. Data collected in pre-designed pro forma. Descriptive study analysis was done.
Results: Out of the total 776 cases analysed 59% were male. LRTI comprised of maximum percentage of cases 27.8%, followed by sepsis (21.6%) and meningo encephalitis (16.7%). A maximum of 39% stayed for 3-7days in PICU, and 29.9% expired. Out of the total deaths, meningo encephalitis was responsible for maximum (27.6%).
Conclusions: Our study is the first of its kind depicting the the demographic and morbidity patterns of the disease at a PICU in a tertiary care hospital in the Sub Himalayan region. Outcome analysis showed that PICU mortality rate was higher than in relevant recent studies.
References
John J Downes. The historical evolution,current status and prospective development of Pediatric Critical care. Critical Care Clinics. 1992;8:1-65.
Tilford JM, Simpson PM, Green JW, Lensing S, Fiser DH. Volume outcome relationships in Pediatric Critical care units. Pediatrics. 2000;106(2):289-94.
Tilford JM, Robertson PK, Lensing S, Fiser DH. Improvement in Pediatric Critical care outcome. Crit Care Med. 2000;28(2):601-3.
Kapil D, Bagga A. The profile and outcome of patients admitted to a Pediatric Intensive Care Unit. Indian J Pediatr. 1993;60:5-10.
Parikh CR, Karnad DR. Quality cost and outcome of intensive care in a public hospital in Bombay India. Crit Care Med. 1999;27(9):1754-9.
Lodha R, Kabra SK, Pandey RM. Acute respiratory distress syndrome; Experience of a Tertiary care hospital. Indian Pediatr. 2001;38:1154-9.
Khilnani P, Sarma D, Singh R, Uttam R, Rajdev S, Makkar A, Kaur J. Demographic profile and outcome analysis of a tertiary level pediatric intensive care unit. Apollo Medicine. 2004;1(2):161-6.
Haque A, Bano S. Clinical profile and outcome in a paediatric intensive care unit in Pakistan. J Coll Physicians Surg Pak. 2009;19(8):534-5.
Klein JO, Feigin RD, McCracken GH. Report of the task force on diagnosis and management of meningitis. Pediatrics. 1986;78(5):959-82.
Bhat BV, Verma IC, Puri RK, Srinivasan S, Nalini P. Prognostic indicators in pyogenic meningitis. Indian pediatrics. 1987;24(11):977-83.
Beig FK, Malik A, Rizvi M, Acharya D, Khare S. Etiology and clinico-epidemiological profile of acute viral encephalitis in children of western Uttar Pradesh, India. Inter J Infectious Dis. 2010;14(2):e141-6.
Goyal V, Elavarasi A, Abhishek GS, Behari M. Practice trends in treating central nervous system tuberculosis and outcomes at a tertiary care hospital: A cohort study of 244 cases. Annals Indian Acad Neurol. 2019;22(1):37.
