Improving outcome in pediatric intensive care unit in academic hospital in Pakistan
Pakistan Journal of Medical Sciences. 2009; 25 (4): 605-608
en Inglés
| IMEMR
| ID: emr-103374
ABSTRACT
To assess the impact on the clinical outcome of critically ill children before and after introduction of pediatric intensivist in an academic pediatric intensive care unit [PICU] in Pakistan. This is a retrospective audit of children [age from one month to 14 years] admitted in the PICU during two 12-month periods in PICU of Aga Khan University Hospital [AKUH]. Patients in cohort one were managed by pediatric intensivist while in cohort two were managed by general pediatricians. Patients were compared during the two 12-month cohort period. During the study, in cohort one, 314 patients were admitted, mean age was 24 months [range, one month -14 year], 37% were less than 1 -year old, 66% were male, mean PRISM Score was 13.2[3- 39] while in cohort 2, 99 patients were admitted; mean age was 29 months and 60% were male. There were similar medical diagnostic categories in both cohorts. There were significant differences in two cohort for mortality [35% vs. 14%], length of stay [7.5 days vs. 3.2 days] [p<0.01] and number of admissions [314 vs. 99]. Our data showed that implementation of full-time trained pediatric intensivist in a tertiary-care PICU of university hospital was associated with improve outcome of critically ill children
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IMEMR (Mediterraneo Oriental)
Asunto principal:
Niño
/
Estudios Retrospectivos
/
Enfermedad Crítica
/
Hospitales
Límite:
Femenino
/
Humanos
/
Masculino
Idioma:
Inglés
Revista:
Pak. J. Med. Sci.
Año:
2009
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