A comparison between raw and predicted mortality in a paediatric intensive care unit in South Africa

doi:10.1186/s13104-018-3946-9

Comparative Study

. 2018 Nov 26;11(1):829.

doi: 10.1186/s13104-018-3946-9.

A comparison between raw and predicted mortality in a paediatric intensive care unit in South Africa

Daynia Elizabeth Ballot¹, Tanusha Ramdin², Debbie Ann White², Jeffrey Lipman³

Affiliations

¹ Paediatric/Neonatal Intensive Care Unit, Department of Paediatrics and Child Health, Charlotte Maxeke Johannesburg Academic Hospital, Faculty of Health Sciences, University of the Witwatersrand, Private Bag X 39, 2000, Johannesburg, South Africa. daynia.ballot@wits.ac.za.
² Paediatric/Neonatal Intensive Care Unit, Department of Paediatrics and Child Health, Charlotte Maxeke Johannesburg Academic Hospital, Faculty of Health Sciences, University of the Witwatersrand, Private Bag X 39, 2000, Johannesburg, South Africa.
³ Intensive Care Services, Royal Brisbane and Women's Hospital and The University of Queensland, Herston, Australia.

PMID: 30477580
PMCID: PMC6260679
DOI: 10.1186/s13104-018-3946-9

Comparative Study

A comparison between raw and predicted mortality in a paediatric intensive care unit in South Africa

Daynia Elizabeth Ballot et al. BMC Res Notes. 2018.

. 2018 Nov 26;11(1):829.

doi: 10.1186/s13104-018-3946-9.

Authors

Daynia Elizabeth Ballot¹, Tanusha Ramdin², Debbie Ann White², Jeffrey Lipman³

Affiliations

¹ Paediatric/Neonatal Intensive Care Unit, Department of Paediatrics and Child Health, Charlotte Maxeke Johannesburg Academic Hospital, Faculty of Health Sciences, University of the Witwatersrand, Private Bag X 39, 2000, Johannesburg, South Africa. daynia.ballot@wits.ac.za.
² Paediatric/Neonatal Intensive Care Unit, Department of Paediatrics and Child Health, Charlotte Maxeke Johannesburg Academic Hospital, Faculty of Health Sciences, University of the Witwatersrand, Private Bag X 39, 2000, Johannesburg, South Africa.
³ Intensive Care Services, Royal Brisbane and Women's Hospital and The University of Queensland, Herston, Australia.

PMID: 30477580
PMCID: PMC6260679
DOI: 10.1186/s13104-018-3946-9

Abstract

Objective: Paediatric intensive care resources are limited in sub-Saharan Africa. The mortality rate in a combined Paediatric/Neonatal Intensive Care Unit in Johannesburg, South Africa was almost double that in a dedicated paediatric intensive care unit in the same country. This study aimed to compare the raw mortality rate with that predicted with the Paediatric Index of Mortality (version 3), by doing a retrospective analysis of an existing database.

Results: A total of 530 patients admitted to the intensive care unit between 1 January 2015 and 31 December 2017 were included. The raw mortality rate was 27.1% and the predicted mortality rate was 27.0% (p = 0.971). Cardiac arrest during ICU admission (p < 0.001), non-reactive pupils (0.035), inotropic support (p < 0.001) and renal disease (p = 0.002) were all associated with an increased risk of mortality. These findings indicate that the high mortality rate is due to the severity of illness in the patients that are admitted. It also indicates that the quality of care delivered is acceptable.

Keywords: Health care rationing; Intensive care; Mortality audit; Pediatrics.

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References

1. von Saint Andre-von Arnim AO, Attebery J, Kortz TB, Kissoon N, Molyneux EM, Musa NL, et al. Challenges and priorities for pediatric critical care clinician-researchers in low- and middle-income countries. Front Pediatr. 2017;5:277. doi: 10.3389/fped.2017.00277. - DOI - PMC - PubMed
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[1] von Saint Andre-von Arnim AO, Attebery J, Kortz TB, Kissoon N, Molyneux EM, Musa NL, et al. Challenges and priorities for pediatric critical care clinician-researchers in low- and middle-income countries. Front Pediatr. 2017;5:277. doi: 10.3389/fped.2017.00277. - DOI - PMC - PubMed

[2] von Saint Andre-von Arnim AO, Attebery J, Kortz TB, Kissoon N, Molyneux EM, Musa NL, et al. Challenges and priorities for pediatric critical care clinician-researchers in low- and middle-income countries. Front Pediatr. 2017;5:277. doi: 10.3389/fped.2017.00277. - DOI - PMC - PubMed

[3] Tripathi S, Kaur H, Kashyap R, Dong Y, Gajic O, Murthy S. A survey on the resources and practices in pediatric critical care of resource-rich and resource-limited countries. J Intensive Care. 2015;3:40. doi: 10.1186/s40560-015-0106-3. - DOI - PMC - PubMed

[4] Tripathi S, Kaur H, Kashyap R, Dong Y, Gajic O, Murthy S. A survey on the resources and practices in pediatric critical care of resource-rich and resource-limited countries. J Intensive Care. 2015;3:40. doi: 10.1186/s40560-015-0106-3. - DOI - PMC - PubMed

[5] Argent AC, Chisti MJ, Ranjit S. What’s new in PICU in resource limited settings? Intensive Care Med. 2017 doi: 10.1007/s00134-017-4905-y. - DOI - PubMed

[6] Argent AC, Chisti MJ, Ranjit S. What’s new in PICU in resource limited settings? Intensive Care Med. 2017 doi: 10.1007/s00134-017-4905-y. - DOI - PubMed

[7] Bhagwanjee S, Scribante J. National audit of critical care resources in South Africa—unit and bed distribution. S Afr Med J. 2007;97(12 Pt 3):1311–1314. - PubMed

[8] Bhagwanjee S, Scribante J. National audit of critical care resources in South Africa—unit and bed distribution. S Afr Med J. 2007;97(12 Pt 3):1311–1314. - PubMed

[9] Manda-Taylor L, Mndolo S, Baker T. Critical care in Malawi: the ethics of beneficence and justice. Malawi Med J J Med Assoc Malawi. 2017;29(3):268–271. doi: 10.4314/mmj.v29i3.8. - DOI - PMC - PubMed

[10] Manda-Taylor L, Mndolo S, Baker T. Critical care in Malawi: the ethics of beneficence and justice. Malawi Med J J Med Assoc Malawi. 2017;29(3):268–271. doi: 10.4314/mmj.v29i3.8. - DOI - PMC - PubMed

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A comparison between raw and predicted mortality in a paediatric intensive care unit in South Africa

Affiliations

A comparison between raw and predicted mortality in a paediatric intensive care unit in South Africa

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Abstract

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