Characteristics and prognostic factors of previously healthy children who required respiratory support in a pediatric intensive care unit
Allergy, Asthma & Respiratory Disease
;
: 103-109, 2018.
Artículo
en Coreano
| WPRIM
| ID: wpr-713212
ABSTRACT
PURPOSE:
Comorbidities have been considered a mortality risk factor in pediatric critical care patients. We studied the characteristics and prognostic factors of children without comorbidities who were admitted to the intensive care unit (ICU) due to respiratory failure.METHODS:
We reviewed the medical charts of patients (< 18 years) admitted to the ICU for respiratory support in a single tertiary center between January 2006 and December 2016. Patients with comorbidities and perioperative statuses were excluded.RESULTS:
Of the 4,712 ICU patients, 73 (1.5%) were included in this study. The median age was 31 months (8–57) and 51 (69.9%) were boys. Twenty-nine patients (39.7%) presented with pneumonia, 14 (19.2%) with acute respiratory distress syndrome (ARDS), and 11 (15.1%) with obstructive airway disease. The median duration of ICU hospitalization was 5 days (2–14.5), and 45 of the 73 patients (61.6%) needed mechanical ventilation. Mortality was 13.7% (10/73). None of the patients with pneumonia or obstructive airway disease died. The most frequent cause of death was ARDS (5 of 10, 50%). In adjusted analysis, the extent of extrapulmonary organ dysfunction was significantly associated with mortality (odds ratio, 2.89; 95% confidence interval, 1.17–7.11; P=0.023).CONCLUSION:
The mortality rate of previously healthy pediatric patients needing respiratory support in the ICU should not be negligible. Multiple organ dysfunctions might be a significant risk factor for mortality in such patients.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Neumonía
/
Respiración Artificial
/
Síndrome de Dificultad Respiratoria
/
Insuficiencia Respiratoria
/
Comorbilidad
/
Factores de Riesgo
/
Mortalidad
/
Causas de Muerte
/
Cuidados Críticos
/
Hospitalización
Tipo de estudio:
Estudio de etiología
/
Estudio pronóstico
/
Factores de riesgo
Límite:
Niño
/
Humanos
Idioma:
Coreano
Revista:
Allergy, Asthma & Respiratory Disease
Año:
2018
Tipo del documento:
Artículo
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