The functional outcome of children after intensive care in a tertiary care centre

Anup Kumar; Anil kumar Jaiswal

Volume : VIII, Issue : II, February - 2019

The functional outcome of children after intensive care in a tertiary care centre

Anup Kumar, Anil Kumar Jaiswal

Abstract :

Background: The development of specialized pediatric intensive care units (PICUs) has contributed to the improved survival of critically ill children, although the long–term functional outcome and quality of survival of these children is often unknown. To evaluate the long term functional outcome of children at 6 month and 1 year after discharge from Pediatric Intensive Care Unit (PICU) Materials and methods: Design: prospective cross sectional study. Setting: outpatient follow up clinic of a teaching and referral institute. Subjects: children aged 1–12 years, discharged from PICU between Dec 2016 and nov 2017. Children with ICU stay of less than 24 hrs, infants, and readmission to ICU were excluded. Methods: Patients were evaluated at 6 months and 1 year after discharge from PICU using a modified Glasgow Outcome Score (GOS) to assess functional These were correlated with demographic data, indications of PICU admission, primary diagnosis, severity of illness (PRISM I and III scores), co morbidities, therapeutic interventions during PICU stay and length of ICU stay (days). Results: 92 patients having a mean (SD) age 4.9(3.3) years, duration of PICU stay 13.9(17.9) days and PRISM score 14.67(9.12) were enrolled in the study. 69.5% of the children had a good functional outcome at 6 months follow up which improved to 78.7% at 1 year. Conclusion: Long–term functional outcome improved significantly from 6 months to 1 year after discharge. Neurological illnesses were the most significant predictor for poor outcome.