VALIDITY OF PERFUSION INDEX IN PREDICTION OF CIRCULATORY COMPROMISE AND MORTALITY IN NEONATES
Ibrahim, M., Mohamed, M. (2023). VALIDITY OF PERFUSION INDEX IN PREDICTION OF CIRCULATORY COMPROMISE AND MORTALITY IN NEONATES. EKB Journal Management System, 74(1), 57-64. doi: 10.21608/asmj.2023.298198
Mariam Ibrahim; Maha Mohamed. "VALIDITY OF PERFUSION INDEX IN PREDICTION OF CIRCULATORY COMPROMISE AND MORTALITY IN NEONATES". EKB Journal Management System, 74, 1, 2023, 57-64. doi: 10.21608/asmj.2023.298198
Ibrahim, M., Mohamed, M. (2023). 'VALIDITY OF PERFUSION INDEX IN PREDICTION OF CIRCULATORY COMPROMISE AND MORTALITY IN NEONATES', EKB Journal Management System, 74(1), pp. 57-64. doi: 10.21608/asmj.2023.298198
Ibrahim, M., Mohamed, M. VALIDITY OF PERFUSION INDEX IN PREDICTION OF CIRCULATORY COMPROMISE AND MORTALITY IN NEONATES. EKB Journal Management System, 2023; 74(1): 57-64. doi: 10.21608/asmj.2023.298198

VALIDITY OF PERFUSION INDEX IN PREDICTION OF CIRCULATORY COMPROMISE AND MORTALITY IN NEONATES

Ain Shams Medical Journal
Volume 74, Issue 1, March 2023, Page 57-64  XML PDF (374.82 K)
Document Type: Original Article
DOI: 10.21608/asmj.2023.298198
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Authors
Mariam Ibrahim; Maha Mohamed
Department of Pediatrics, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
Abstract
Background: Early prediction of circulatory compromise in neonates is a cornerstone in improving neonatal outcome. Proper functioning circulatory system is indicated by adequate tissue perfusion. Perfusion index (PI) can identify the state of peripheral tissue perfusion which is a window to the perfusion of the body. Aim of the work: To validate the use of the perfusion index in predicting risk of circulatory compromise in neonates, to help in guidance of accurate, properly timely management. Patients and Methods: This prospective observational study was done on 112 neonates. PI at the day of admission and after 3 days of hospital stay. The hospital course was followed up especially the need for inotropic support, hospital stay and mortality. Results: Patients who used inotropes and passed away had a significantly lower PI than those who didn’t in both day 1 and 3. Mean and SD (1.03(±0.57) vs 1.51(± 0.76) p=0.001 respectively for inotropic use in day 1, 1.09 (±0.57) vs. 1.87 (±0.68) p<0.001 for inotropic use in day 3, 0.91(±0.53) vs. 1.48(±0.74) p<0.001 respectively for outcome in day 1. 0.91 (±0.42) vs. 1.82 (±0.69) p<0.001 respectively for outcome in day 3. A significant inverse correlation was found between duration of hospital stay and perfusion index on day 3(r= -0.253, p= 0.007). Conclusion: perfusion index can be used as an early predictor of the need of inotropes, duration of hospital stay and mortality in neonates.
Keywords
perfusion index; neonate; inotropes; mortality; circulation
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