Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2018 May 24;11(1):339.
doi: 10.1186/s13104-018-3432-4.

Assessment of pattern and treatment outcome of patients admitted to pediatric intensive care unit, Ayder Referral Hospital, Tigray, Ethiopia, 2015

Hansa Haftu  1 , Tedrose Hailu  2 , Araya Medhaniye  2 , Teklit G/Tsadik  2
Affiliations

Assessment of pattern and treatment outcome of patients admitted to pediatric intensive care unit, Ayder Referral Hospital, Tigray, Ethiopia, 2015

Hansa Haftu et al. BMC Res Notes. .

Abstract

Objective: To describe admission pattern and outcome with its predictor variable on the mortality of children admitted to pediatric intensive care unit (PICU), Ayder Referral Hospital, Northern Ethiopia, from September 2012 to August 2014.

Result: From 680 admitted patients, 400 patients were analyzed. Average age at admission was 62.99 ± 60.94 months, with F:M ratio of 1:1.2. Overall (from infectious and non-infectious) the most commonly affected systems were respiratory (90/400 pts., 22.5%) and central nervous system (83/400 pts., 20.75%). Most were admitted due to meningitis (44/400 pts., 11%), post-operative (43/400 pts., 10.8%) and acute glomerulonephritis (41/400 pts., 10.3%). The overall mortality rate was 8.5%. Multivariable logistic regression shows, use of inotropes (p = 0.000), need for mechanical ventilator (p = 0.007) and presence of comorbid illness (p = 0.002), infectious cause (p = 0.015) and low level of Glasgow coma scale less than eight (p = 0.04) were independent predictors of mortality. From this study, common cause of PICU admission and death was meningitis. This highlights the importance of focusing on the preventable methods in the public such as vaccine, creating awareness about hygiene, and expanding ICU for early detection and for treatment acutely ill children.

Keywords: Inotropes; Mortality; PICU; Pattern.

PubMed Disclaimer

Figures

Fig. 1
Fig. 1
Common causes of ICU admission by their diagnosis. N.B—others-malignancy, poisoning, near-drowning, disseminated infection, brain tumor and alcohol intoxication
See this image and copyright information in PMC

References

    1. Manimala R, Suhasini T. Organization of intensive care unit and predicting outcome of critical illness, India. Indian J Anesth. 2003;47(5):328–337.
    1. Elisabeth D, Riviello S, Stephen L, et al. Critical care in resource-poor settings, Kenya. Crit Care Med. 2011;39:860–867. doi: 10.1097/CCM.0b013e318206d6d5. - DOI - PubMed
    1. Bryce J, Boschi-Pinto C, Shibuya K, Black RE. WHO estimates of the causes of death in children? Lancet. 2005;365(9465):1147–1152. doi: 10.1016/S0140-6736(05)71877-8. - DOI - PubMed
    1. You D, et al. Levels, and trends in under-5 mortality, 1990–2008. Lancet. 2009;375:100–103. doi: 10.1016/S0140-6736(09)61601-9. - DOI - PubMed
    1. Donna M, Chris S. Child health, part 1: overview of problems, trends and strategies for improvement. Glob Child Health. 2013;450(34):1–74.

LinkOut - more resources