A study of prevalence and outcome of shock in patients admitted to the pediatric intensive care unit at a tertiary care hospital

Sarath Chandrika; Sriram Pothapregada; Balachandar B. Varadhan

doi:10.18203/2349-3291.ijcp20261544

Authors

Sarath Chandrika Department of Pediatrics, IMS and SUM Hospital, Bhubaneswar, India
Sriram Pothapregada Department of Pediatrics, AIIMS Bilaspur, Himachal Pradesh, India
Balachandar B. Varadhan Rajiv Gandhi Women and Child Hospital, Puducherry, India

DOI:

https://doi.org/10.18203/2349-3291.ijcp20261544

Keywords:

Children, Infant, Inotropes, Mortality, Shock

Abstract

Background: Shock is the most common condition in children admitted in PICU with high morbidity and mortality rate in children. The knowledge about the etiology and risk factors will give an early clue in identifying and prioritizing management of Shock and its outcome in children. To study the prevalence of shock in children admitted in PICU and identify the etiology and response to treatment and assess the PRISM score and compare it with the outcome in Children.

Methods: Prospective Observational study in children admitted in PICU at a tertiary care hospital.

Results: Out of 878 cases admitted in PICU, shock was observed in 43 children (4.9%). shock at the time of admission and duration of stay in the hospital were found in 26 (70.3%) and 11 (29.7%) respectively. M: F ratio was 1.1:1. Children in the age group of <1 year, 1-5 years and 6-12 years were 17(46%), 16 (43.2%) and 4 (10.8%) respectively. Among the children with shock the distribution of etiology was septic shock 19 (51.4%), hypovolemic shock 10 (27%), distributive shock 4 (10.8%) and cardiogenic shock 4 (10.8%). The mortality rate was 16 (43.3%) and highest in Infants 14 (82.4%) with PRISM Score>30. The mortality rate was highest with septic shock 14 (71.4%) whereas all children with hypovolemic shock survived. Children presented with Compensated shock, decompensated shock and MODS in 14 (37.8%), 23 (62.2%) and 19 (51.4%) children respectively. The most common causes of mortality were MODS and decompensated shock.

Conclusions: Early screening, identification and intervention are key to improve the outcome in children with shock.

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