Outcome of Patients Admitted to Pediatric Intensive Care Unit in a Tertiary Care Hospital in West Bengal Region: A Retrospective Study
Authors/Creators
- 1. Assistant Professor, Department of Pediatrics, ICARE Institute of Medical Science and Research and Dr Bidhan Chandra Roy Hospital, Haldia, West Bengal, India
Description
Background: This study was undertaken to know about the clinical profile and outcome of patients admitted in paediatric ICU in a tertiary care hospital. Methods: This is a hospital based, retrospective, descriptive study, done on patients admitted to paediatric ICU, ICARE Institute of Medical Science and Research and Dr Bidhan Chandra Roy Hospital, Haldia, West Bengal, India for one year. Results: As about 424 patients were admitted paediatric ICU. 79 patients were excluded from the study. Remaining 345 PICU patients were analysed. According to the age distribution of patients, it showed that < 1year were (25.2%), 1-5 years were (44.3%), > 5years of age were (30.4%). There was a female preponderance (58.8%), males were (41.1%). Patients from rural area were 243 (70.4%) and 102 (29.5%) from urban area. Clinical profile showed that pneumonia was the most common diagnosis (8.4%) for admission in PICU. This was followed by bronchiolitis (6.9%)(5.5%),, enteric unknown fever bite in (5.2%) (6.6%), acute febrile severe seizures asthma (6.3%) (4.9%), poisoning, sepsis (6.0%) (4.6%), renal severe problems gastritis (5.7%) (4.3%), occult, clinical bacteremia dengue (3.7%), seizure disorder (3.4%), croup (3.1%), traumatic head injury (2.8%), wheeze associated LRI (2.6%), acute otitis media (2.3%), migraine (2.0%), meningitis (1.7%), CHD with complications (1.7%), severe anaemia with CCF (1.4%), acute urticarial (1.4%), foreign body (1.1%), electric shock (1.1%), scorpion sting (0.8%), viral hepatitis (0.8%) angioedema, clinical The malaria outcome (0.8%) noted, nephrotic was, (87.8%) syndrome were discharged, with complications (10.7%) (0.5%) patients, scrub went against typhus (0.2%) medical and advice, (0.2%) (1.4%) was patients were referred at parent’s request. Conclusions: Respiratory illness, infectious diseases, neurological problems and poisoning are the most common cause for PICU admissions. But seronegative dengue cases, electric shock, re-emergence of scrub typhus, are being increasingly also recommend diagnosed. better manpower So, emphasis and infrastructures therefore placed to improve on high the index outcome of suspicion of patients for admitted this type of to PICU. conditions.
Abstract (English)
Background: This study was undertaken to know about the clinical profile and outcome of patients admitted in paediatric ICU in a tertiary care hospital. Methods: This is a hospital based, retrospective, descriptive study, done on patients admitted to paediatric ICU, ICARE Institute of Medical Science and Research and Dr Bidhan Chandra Roy Hospital, Haldia, West Bengal, India for one year. Results: As about 424 patients were admitted paediatric ICU. 79 patients were excluded from the study. Remaining 345 PICU patients were analysed. According to the age distribution of patients, it showed that < 1year were (25.2%), 1-5 years were (44.3%), > 5years of age were (30.4%). There was a female preponderance (58.8%), males were (41.1%). Patients from rural area were 243 (70.4%) and 102 (29.5%) from urban area. Clinical profile showed that pneumonia was the most common diagnosis (8.4%) for admission in PICU. This was followed by bronchiolitis (6.9%)(5.5%),, enteric unknown fever bite in (5.2%) (6.6%), acute febrile severe seizures asthma (6.3%) (4.9%), poisoning, sepsis (6.0%) (4.6%), renal severe problems gastritis (5.7%) (4.3%), occult, clinical bacteremia dengue (3.7%), seizure disorder (3.4%), croup (3.1%), traumatic head injury (2.8%), wheeze associated LRI (2.6%), acute otitis media (2.3%), migraine (2.0%), meningitis (1.7%), CHD with complications (1.7%), severe anaemia with CCF (1.4%), acute urticarial (1.4%), foreign body (1.1%), electric shock (1.1%), scorpion sting (0.8%), viral hepatitis (0.8%) angioedema, clinical The malaria outcome (0.8%) noted, nephrotic was, (87.8%) syndrome were discharged, with complications (10.7%) (0.5%) patients, scrub went against typhus (0.2%) medical and advice, (0.2%) (1.4%) was patients were referred at parent’s request. Conclusions: Respiratory illness, infectious diseases, neurological problems and poisoning are the most common cause for PICU admissions. But seronegative dengue cases, electric shock, re-emergence of scrub typhus, are being increasingly also recommend diagnosed. better manpower So, emphasis and infrastructures therefore placed to improve on high the index outcome of suspicion of patients for admitted this type of to PICU. conditions.
Files
IJTPR,Vol13,Issue3,Article54.pdf
Files
(331.1 kB)
| Name | Size | Download all |
|---|---|---|
|
md5:d465632eb7cd62285e5cda9b4a28db08
|
331.1 kB | Preview Download |
Additional details
Dates
- Accepted
-
2023-03-10
Software
References
- 1. Abhulimhen-Iyoha BI, Pooboni SK, Vuppali NK. Morbidity Pattern and Outcome of Patients Admitted into a Pediatric Intensive Care Unit in India. Indian J Clin Med. 2014;5:1-5. 2. Jain S, Bhalke S, Srivastava A. A study of morbidity pattern in PICU at Tertiary Care Center. J Pediatr Crit Care. 2018; 5(5):23-5. 3. Das I, Bezboruah G, Pathak K, Rahman M. Clinical profile and Outcome of Patients Admitted in Pediatric Intensive Care Unit of Gauhati Medical College & Hospital. IOSR J Dental Med Sci. 2017 Dec;16(12):27-9. 4. Haftu H, Hailu T, Medhaniye A. Assessment of pattern and treatment outcome of patients admitted to pediatric intensive care unit, Ayder Referral Hospital, Tigray, Ethiopia, 2015. BMC Research Notes. 2018 Dec;11(1):339. 5. Sahoo B, Patnaik S, Mishra R, Jain MK. Morbidity pattern and outcome of children admitted to a paediatric intensive care unit of Eastern India. Int J Contemp Pediatr. 2017 Mar;4(2):486- 9. 6. Mridha D, Saha S, Ganguly S, Bose K. A Retrospective Evaluation of Morbidity Pattern and Outcome of Patients Admitted into a Pediatric Intensive Care Unit in India. J Med Sci Clin Res. 2017 Nov;5(11):30586-90. 7. Heneghan J, Pollack MM. Morbidity: Changing the Outcome Paradigm for Pediatric Critical Care. Pediatr Clin North Am. 2017 Oct;64(5):1147-65. 8. Bharuka S. To Study the Profile of Children Admitted in Pediatric Intensive Care Unit of a Rural Medical College, Hospital.J Adv Scholarly Rese Allied Educ. 2017Oct;14(1):21-5. 9. Lanetzki CS, Oliveira AC, Bass LM, Abramovici S, Troster EJ. The epidemiological profile of Pediatric Intensive Care Center at Hospital Israelita Albert Einstein. Einstein. 2012 Jan-Mar;10(1):16-21. 10. Khilnani P, Sarma D, Singh R, Uttam R, Rajdev S, Makkar A. Demographic profile and outcome analysis of a tertiary level pediatric intensive care unit. Indian J Pediatr. 2007;71:587-91. 11. Embu HY, Yiltok SJ, Isamade ES, Nuhu SI, Oyeniran OO, Uba FA. Paediatric admissions and outcome in a general intensive care unit. Afr J Paediatr Surg. 2011;8(1):57-61. 12. Rukmani J, Kumar N. Clinical profile and outcome of PICU in a tertiary care hospital in south India. RA J Applied Resea. 2017 May;3(5):902-7. 13. Kumar R, Kishore S, Kumar R, Prakash J. Clinical profile and outcome in a paediatric intensive care unit in a tertiary level centre of Bihar. Int J Med Paediatr Oncol. 2019;5(3):89-92. 14. Jyothi AK, Ankireddy K. A study on clinical profile and outcome of patients in PICU (paediatric intensive care unit) at a tertiary care unit. Int J Contemp Pediatr. 2019 Mar; 6(2):757-60.