A Retrospective Evaluation of the Morbidity Pattern and Outcome of Patients Admitted in a Pediatric Intensive Care Unit in India

Dr(Col) Om Prakash Singh; Dr Neeraj Anand

Volume : IX, Issue : VI, June - 2019

A Retrospective Evaluation of the Morbidity Pattern and Outcome of Patients Admitted in a Pediatric Intensive Care Unit in India

Dr Col Om Prakash Singh, Dr Neeraj Anand

Abstract :

Background: Pediatric intensive care unit is the main stay in the management of critically ill children requiring advanced airway, respiratory, and hemodynamic supports. These children are admitted to the pediatric intensive care unit (PICU) for offering an advanced life support system and to achieve better outcome. Objective: To evaluate the morbidity and mortality pattern and outcome of admissions into the PICU of a tertiary care center in India. Methods: This study was carried out with the objectives to study the clinical profile and to find the outcome of children admitted to Pediatric Intensive Care Unit (PICU) of Heritage institute of medical sciences and Hospital, Varanasi Uttar Pradesh. This retrospective study was done in children aged more than 28 days to 18 years admitted in PICU from 1st May 2016 to 30th Apr 2019.This was a retrospective study in which records of admissions (01May 2016 to30 th Apr 2019) were obtained from the PICU records which included age, sex, weight, diagnosis, duration of stay in the unit, and outcome. Results: There were total of 890 patients were admitted. Out of these, 529 (59.43%) cases were males and 361 (40.56 %) cases were females .The Total deaths in this study were 91 and the mortality rate was 10.22%. Out of 91 patients who died, 51 (64.55%) were male as compared to 28 (35.44 %) females (M: F; 1.6:1). Median age was 4.3 years. Out of the 890 patients admitted to PICU, 91 (10.22%) died. Out of remaining 799 patients 176 (19.77 % ) were taken away against medical advice and 54 (6.06%) patients were referred to higher centers .A total of 569 ( 63.93% ) cases improved and were shifted to general ward and later discharged. 165 (20.89%) cases constituted of those who were shifted. Conclusion: Mortality was high in our PICU. We conclude that a well–equipped intensive care unit with modern and innovative intensive care greatly facilitates the care of critically ill patients giving desirable outcome if there is early referral.