ABSTRACT
To apply and determine whether standardized mortality scores are appropriate to predict the risk of mortality in mechanically ventilated pediatric patients, 150 patients were retrospectively evaluated. Pediatric risk of mortality (PRISM) III-24 and pediatric index of mortality (PIM)-2 scores were unable to discriminate survivors and nonsurvivors; the observed mortality rate was lower than expected mortality rates. Oxygenation index (OI) was calculated at 0, 12, 24, and 72 hours of ventilation. OI-12 and OI-72 were found to be higher in nonsurvivors. PRISM III-24 and PIM-2 scores failed to predict mortality risk in mechanically ventilated pediatric patients. OI can be used to predict degree of respiratory failure and mortality risk.
Subject(s)
Anticoagulants/therapeutic use , Antiphospholipid Syndrome/diagnosis , Budd-Chiari Syndrome/diagnosis , Lupus Erythematosus, Systemic/complications , Plasmapheresis , Abdominal Pain/blood , Abdominal Pain/etiology , Abdominal Pain/therapy , Adolescent , Antibodies, Anticardiolipin/blood , Antibodies, Anticardiolipin/immunology , Antibodies, Antinuclear/blood , Antibodies, Antinuclear/immunology , Antiphospholipid Syndrome/blood , Antiphospholipid Syndrome/immunology , Antiphospholipid Syndrome/therapy , Ascites/blood , Ascites/etiology , Ascites/therapy , Budd-Chiari Syndrome/blood , Budd-Chiari Syndrome/immunology , Budd-Chiari Syndrome/therapy , Female , Hepatic Veins/diagnostic imaging , Humans , Lupus Erythematosus, Systemic/blood , Lupus Erythematosus, Systemic/immunology , Nausea/blood , Nausea/etiology , Nausea/therapy , Tomography, X-Ray Computed , Ultrasonography , Vomiting/blood , Vomiting/etiology , Vomiting/therapyABSTRACT
An esophageal stricture is one of the complications that may develop during cancer treatment in children. Although more commonly associated with radiotherapy, recurrent mucositis has also been implicated. Presented herein is a case of a patient with acute lymphoblastic leukemia who suffered recurrent attacks of severe mucositis. Initial management of ensuing dysphagia included antifungal treatment for candida esophagitis. A subsequent upper endoscopy due to persistence of dysphagia revealed the presence of an esophageal stricture. Our aim in presenting this case is to emphasize the importance of considering a diagnosis of esophageal stricture in patients receiving anti-cancer treatment; early endoscopic intervention may be warranted in some patients.
