Clinical Profile and Predictor of Adverse Outcome in Children with Acute Encephalitis Syndrome: A Cross Sectional Study.
Article
| IMSEAR
| ID: sea-215647
ABSTRACT
Background:
Acute Encephalitis Syndrome (AES) isdefined as a person of any age at any time of year, withthe acute onset of fever and a change in mental statussuch as confusion, disorientation, coma or inability totalk and/or new onset of seizures (excluding simplefebrile seizure). Most cases of AES are due to viralencephalitis, which is more prevalent in South EastAsia. Aim andObjectives:
to study clinical profile andrisk factors for adverse outcome of AES in children inAcharya Vinoba Bhave Rural Hospital (AVBRH).Material andMethods:
This cross-sectional,observational study was conducted in children withAES admitted in Pediatric Intensive Care Unit (PICU)of AVBRH over period of 2 years (August 2017- July2019). Data collection were done by using predesigned,structured proforma and analyzed by using SPSSversion 22.Results:
Of the 80 cases enrolled in the study31.25% were between 10-15 years. In this study male tofemale ratio was 1.5. Mostly subjects were residing inrural area (54.1%), with a common presentation of fever(100%), altered sensorium (73.7%) and convulsion(71.25%). Mortality was observed in 23.7% cases out ofwhich 40(50%) had viral etiology (other than dengue),21(26.25%) had dengue, 5(6.2%) had malaria. Thosewho presented with shock and required mechanicalventilation and had deranged Liver Function Test (LFT)profile have statistically significant correlation withmortality.Conclusion:
Majority of cases were in the agegroup 10-15 years, with male predominance. DerangedLFT, presence of shock significantly associated withmortality among children with AES. Viral encephalitisis an important cause of AES
Texte intégral:
Disponible
Indice:
IMSEAR (Asie du Sud-Est)
Type d'étude:
Étude observationnelle
/
Étude de prévalence
/
Étude pronostique
/
Facteurs de risque
Année:
2020
Type:
Article
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