Burden of Respiratory Illnesses in Pediatric Intensive Care Unit and Its Outcome | ||||
| The Egyptian Journal of Hospital Medicine | ||||
| Article 94, Volume 98, Issue 1, January 2025, Page 651-656 PDF (331.71 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ejhm.2025.410530 | ||||
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| Abstract | ||||
| Background: A significant portion of the pediatric intensive care unit's (ICU) disease burden is caused by respiratory infections and illnesses in children. Objectives: The aim of the current study was to assess the incidence of respiratory illnesses, predictors and risk factors for mortality in pediatric ICU at Sohag university Hospital. Methods: A prospective observational study conducted at Pediatric ICU, Faculty of Medicine, Sohag University. The study included 204 children admitted to PICU during the study period. Post traumatic and postoperative cases were excluded. Results: The study included 204 cases admitted to PICU during the study period. Respiratory illness represented 36% of admissions to pediatric intensive care unit (PICU). Mean age of the studied cases was 3.01 ± 3.62 year with a median of (1.7), 54.9% of cases were males. Regarding pediatric index of mortality 2 (PIM 2), the mean PIM-2 was 2.03 ± 1.24 while PIM-3 showed a mean of -0.73 ± 1.83. Regarding distribution of respiratory illness, 51.4% of cases had pneumonia, 40.5% of them had bronchiolitis and 8.1% of them had asthma. Regarding PICU admission, mean of admission duration was 11.81 ± 11.45 days. Relation between presence of respiratory illness and PIM-3 showed that the cases with respiratory illness had significantly increase of PIM 3 in comparison to cases with non-respiratory illness (-0.28 ± 1.72 and -0.98 ± 1.85). Comparison between respiratory illnesses showed that there was significant increase in PIM-3 among cases with pneumonia (0.34 ± 1.28) in comparison to that value among cases with bronchiolitis and bronchial asthma (-0.95 ± 1.8 and -1.15 ± 2.51). Conclusion: This study showed that respiratory illness represented high burden in PICU admissions and nearly half of cases with acute respiratory illness were due to pneumonia (51.4%). Cases with pneumonia represented the highest value of PIM-3 that indicated severity of disease, which need more concern and successful management. Cases with bronchiolitis showed the highest percentage of mechanical ventilation, central venous line (CVL) insertion, and inotropic agents need. | ||||
| Keywords | ||||
| Respiratory illness; Respiratory disease; Pediatric intensive care unit; critically ill children | ||||
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