Predictors of outcome in children with hydrocarbon poisoning receiving intensive care.
Indian Pediatr
;
2006 Aug; 43(8): 715-9
Article
in English
| IMSEAR
| ID: sea-9722
ABSTRACT
The retrospective study included 48 children between 8.5 months--10 years, admitted to the PICU of an urban, tertiary care, teaching hospital in northern India from January 1995 to December 2001. Eighteen (38%) patients were hypoxemic on arrival, of which 8 (45%) required mechanical ventilation. Compared to the non-hypoxemic children, the hypoxemic patients were more likely to have received gastric lavage before arrival to our center (Odds Ratio 23.2, 95% CI 2.4 - 560.7) and had higher frequency of severe respiratory distress and leucocytosis (Odds Ratio 8.0, 95% CI 1.79 -38.6). On multiple regression analysis, we could not identify any particular variable that could predict hypoxemia. Secondary pneumonia developed in 16 (33.3%), with the duration of PICU stay being longer in these patients as against those who did not (144 hours vs 72 hours, p <0.05). Two (4.2%) children died and one suffered hypoxic sequelae. Prior lavage, hypoxemia at admission, need for ventilation, secondary sepsis and ventilator related complications were associated with poor outcome.
Full text:
Available
Index:
IMSEAR (South-East Asia)
Main subject:
Oxygen Inhalation Therapy
/
Respiration, Artificial
/
Urban Population
/
Female
/
Humans
/
Male
/
Intensive Care Units, Pediatric
/
Child
/
Child, Preschool
/
Retrospective Studies
Type of study:
Etiology study
/
Observational study
/
Prognostic study
/
Risk factors
Language:
English
Journal:
Indian Pediatr
Year:
2006
Type:
Article
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