从急诊科收治入儿科重症监护病房的儿童的临床特征及预后

Clinical profiles and outcomes of children admitted to the pediatric intensive care unit from the emergency department.

作者信息

Haque Anwarul, Siddiqui Naveedur Rehman, Jafri Sidra Kaleem, Hoda Mehar, Bano Surraiya, Mian Asad

机构信息

Department of Pediatrics and Child Health, The Aga Khan University Hospital, Karachi.

Department of Emergency Medicine, The Aga Khan University Hospital, Karachi.

出版信息

J Coll Physicians Surg Pak. 2015 Apr;25(4):301-3.

PMID:25899201

Abstract

The aim of this study was to describe clinical profiles and outcomes of children admitted directly from the Emergency Room (ER) to the Pediatric Intensive Care Unit (PICU) of academic hospital. The medical records of all children (1 month to 16 years) admitted in PICU from ER, from January 2011 to December 2012 were reviewed. Of the 26,774 patients seen in the ER during the study period, 468 (1.7%) were admitted to the PICU which constituted about 41.5% (468/1127) of all the total PICU admissions. Sixty three percent (n=294) were under-five; males were 60.9% (285), 82.3% (385) were in medical category. Neurological and respiratory illnesses were the most common groups (> 50% of all ER admissions). Multi-organ dysfunction syndrome and co-morbidity were present in 25.2% (n=118) and 23.5% (n=110) respectively. The mean length of stay was 5 ± 3.7 hours. The case-fatality rate was 20.3% (n=95) as compared to the overall PICU mortality rate of 11.9% (n=135).

摘要

本研究旨在描述从急诊室（ER）直接收治至学术医院儿科重症监护病房（PICU）的儿童的临床特征及预后情况。回顾了2011年1月至2012年12月期间从ER收治至PICU的所有儿童（1个月至16岁）的病历。在研究期间急诊室接诊的26774例患者中，468例（1.7%）被收治至PICU，这占PICU所有入院患者总数的约41.5%（468/1127）。63%（n = 294）为5岁以下儿童；男性占60.9%（285例），82.3%（385例）属于内科类别。神经和呼吸系统疾病是最常见的类型（占所有ER入院患者的50%以上）。多器官功能障碍综合征和合并症分别占25.2%（n = 118）和23.5%（n = 110）。平均住院时间为5±3.7小时。病死率为20.3%（n = 95），而PICU总体死亡率为11.9%（n = 135）。