Admission pattern and outcome in a pediatric intensive care unit of Gondar University hospital

Ashenafi Amare Tazebew | Bio
University of Gondar
Biniyam Cahkilu | Bio
University of Gondar
Tigist Bacha | Bio
Addis Abeba University
Share:
  • Articles
  • Submited: January 28, 2018
  • Published: March 30, 2019

Abstract

Background: -Knowledge of the characteristics and outcomes of critically ill children admitted to PICU in low income countries may help with the identification of priorities and the resources required for improvement of the care of critically ill patients.

Aim: The objective of this study is to describe the pattern of admission and outcome of patients admitted to the pediatric intensive care unit (PICU) in Gondar University Hospital.

Methods: - A retrospective study of all children (beyond 30 days of age and <14yrs of age) admitted to the pediatric ICU of Gondar University hospitalwas made for a period of 3 years from August 2013 to July 2016.  Data was retrieved from all available patient Charts and health management information system (HMIS) documentation log of PICU in the study period.

Results: Total of 330 (80%) patient case note was available for review out of which 197(59.7%) were male and the rest 133(40.3%) were female giving the male: female ratio was 1.5:1. The median age at admission was 6years (range 1month-14 yrs.). Neurologic (31.1%), infectious (13.3%) and renal (11.2%) disorders are the three commonest reasons for admission.  Median duration of stay in the PICU regardless of outcome was 3 days. The overall mortality among PICU admitted patients was 30.9% and 51% of all death occurs in the first 24 hours..

Conclusion: The mortality in PICU was very high. The highest number of deaths occurred within 24 hours of admission. Neurologic and infectious contribute the primary cause of mortality. 

Downloads

Download data is not yet available.

References

  1. Young M, Birkmeyer J. Potential reduction in mortality rates using an intensivist model to manage intensive care units. EffClinPract. 1999;3(6):284–289
  2. Butt W, Shann F, Tibballs J, et al. Long-term outcome of children after intensive care. Crit Care Med. 1990; 18(9):961–965.
  3. Gemke R, Bonsel GJ, Van Vught A. Long-term survival and state of health after paediatric intensive care. Arch Dis Child. 1995;73(3): 196–201
  4. Matthew C. Scanlon, Kshitij P. Mistry, MD, Howard E. Jeffries, Determining pediatric intensive care unit quality indicators for measuring pediatric intensive care unit safety. PediatrCrit Care Med. 2007; 8[Suppl.]:S3–S10)
  5. Murthy S, Leligdowicz A, Adhikari NKJ. Intensive Care Unit Capacity in Low-Income Countries: A Systematic Review. Azevedo LCP, ed. PLoS ONE. 2015; 10(1):e0116949. doi:10.1371/journal.pone.0116949.
  6. TeshomeAbebe, MulluGirmay, Girma G/Michael, and Million Tesfaye. The epidemiological profile of pediatric patients admitted to the general intensive care unit in an Ethiopian university hospital.Int J Gen Med. 2015; 8: 63–67. doi: 10.2147/IJGM.S76378 PMCID: PMC4319554
  7. Murray CJL, Lopez AD Measuring the Global Burden of Disease. N Engl J Med.2013; 369: 448–457. doi: 10.1056/NEJMra1201534 PMID: 23902484
  8. Annez PC, Linn JF. An agenda for research on urbanization in developing countries: summaryof findings from a scoping exercise. Geneva: 2010; The World Bank PMID: 25506974
  9. Rady Hl. Profile of patients admitted to pediatric intensive care unit, Cairo University Hospital: 1 year study. Ain-Shams J Anaesthesiol. 2014; 7:500-3
  10. SangitaBasnet,ShrijanaShreshta, AmritGhimire, DipsalTimila, JeenaGurung, etal Development of PICU in Nepal: the experience of the first year. Pediatric Critic Care Med 2014 Sep; 15(7):e314-20
  11. Alievi PT, Carvalho PR, Trotta EA, MombelliFilho R. The impact of admission to a pediatric intensive care unit assessed by means of global and cognitive performance scales. J Pediatr (Rio J) 2007;83(6):505–511.
  12. Md. ShafiulHoque ,MohammedAkterHossanMasud ,A.S.M NawshadUddinAhmedDS. Admission pattern and outcome in a pediatric intensive care unit of a tertiary care pediatric hospital in Bangladesh – A two-year analysis. Child H J 2012; 28 (1) : 14-19
  13. Bhadoria P, Bhagwat AG. Severity scoring systems in pediatric intensive care units. Indian J Anaesth. 2008;52(suppl 5):663–675
  14. Rapsang, A. G., &Shyam, D. C. Scoring systems in the intensive care unit: A compendium. Indian J Crit Care Med. 2014 Apr;18(4):220-228
  15. Embu HY, Yiltok SJ, Isamade ES, Nuhu SI, Oyeniran OO, Uba FA, Pediatric admissions and outcome in general intensive care unit. Afr J PediarSurg 2011;8:57-61.
  16. Elizabeth Draper et al. Ed. PICANet Annual Report 2009-2011. 2012 Universities of Leeds and Leicester. pp11.
  17. Sands R, Manning JC, Vyas H, Rashid A. Characteristics of deaths in paediatric intensive care: a 10-year study. Nurscrit care. 2009 sep–oct; 14(5):235-40. doi 10.1111/j. 1478-5153.2009.00348.x.
  18. Desikan SR, Bray B, Kurian J, Ali S, Chappel W. Outcome after ICU admission in patients over ninety years old. Anesthesiology. 2007;107:A331
  19. El-Nawawy A. Evaluation of the outcome of patients admitted to the pediatric intensive care unit in Alexandria using the pediatric risk of mortality (PRISMscore). J Trop Pediatr. 2003;49:109–114.
  20. Kapil D, Bagga A. The profile and outcome of patients admitted to a pediatric intensive care unit. Indan J Paediatr. 1993;60(1):5–10.
  21. Farias JA, Frutos F, Esteban A, et al. What is the daily practice ofmechanical ventilation in pediatric intensive care units? Multicenterstudy. Intensive Care Med. 2004; 30(5):918–925.
  22. Silva DC, Shibata AR, Farias JA, Troster EJ. How is mechanicalventilation employed in a pediatric intensive care unit in Brazil? Clinics (Sao Paulo, Brazil). 2009;64(12):1161–1166
How to Cite
Tazebew, A. A., Cahkilu, B., & Bacha, T. (2019). Admission pattern and outcome in a pediatric intensive care unit of Gondar University hospital. Ethiopian Medical Journal, 57(2). Retrieved from https://emjema.org/index.php/EMJ/article/view/916

Send mail to Author


Send Cancel