Background: One of the most demanding and difficult aspects of paediatrics remains to be the care of extremely ill children. The Paediatric Intensive Care Unit’s primary purpose is to prevent death by closely monitoring and treating critically ill children who are at high risk of dying. In impoverished nations, there is a scarcity of data on paediatric critical care. The outcomes of medical interventions can be used to measure therapy efficacy. This allows for better decision-making, higher-quality care, and, if necessary, a shift in management’s future direction. This research will also help with the investigation of the causes of morbidity and mortality in our hospital’s children. The study’s goals and objectives are to assess the morbidity pattern and outcomes of admissions to a rural teaching hospital’s PICU, as well as to improve critical care facilities to reduce morbidity and death.
Methods: This was a retrospective analysis of cases admitted to our teaching hospital’s paediatric ICU in the previous two and a half years, with the estimated sample size taken into consideration. The PICU and the Medical Records Department will provide information. The medical record will be utilised to research the specifics, which will then be analysed and interpreted depending on the data in the medical record.
Results: Over the duration of the study’s 30 months, 417 individuals were admitted to our PICU. The maximum number of cases studied, 180 (43.2%), were under the age of one year. The age range for the participants was 1 day to 18 years. Males accounted for 228 (54.7%) of the cases, while females accounted for 189 (45.3%). The most common diagnosis was LRTI, which accounted for 61 (14.7 percent) of cases. The most commonly implicated system was the respiratory system, which accounted for 101 (21.8%) of all cases. 357 (85.6%) of the overall cases investigated were released, 36 (8.6%) had DAMA (discharge against medical advice), and 24 (5.8%) had expired. Conclusions: Our PICU had a low mortality rate. Based on the outcomes of this study, we conclude that with better treatment protocols and trained expertise/Pediatric Intensivist, we have a greater possibility of facilitating the care of critically sick patients and obtaining a favourable outcome in our rural PICU.
Author(S) Details
Deepali A. Ambike
Department of Pediatrics, YCM Hospital, Pimpri, Pune, Maharashtra, India.
Vijay L. Bhavari
Department of Pediatrics, MIMER Medical College, Talegaon Dabhade, Pune, Maharashtra, India.View Book:- https://stm.bookpi.org/RDMMR-V8/article/view/4566
B P International 