Rabah Fatma, Al-Senaidi Khalfan, Beshlawi Ismail, Alnair Alddai, Abdelmogheth Anas-Alwogud Ahmed
Child Health Department, Sultan Qaboos University Hospital, Muscat, Oman.
Child Health Department, Sultan Qaboos University Hospital, Muscat, Oman.
J Pediatr (Rio J). 2016 Jan-Feb;92(1):96-100. doi: 10.1016/j.jped.2015.04.011. Epub 2015 Nov 11.
Echocardiography has become an indispensable bedside diagnostic tool in the realm of pediatric intensive care units (PICU). It has proven to be an influential factor in the formula of clinical decision-making. This study aimed to delineate the impact of echocardiography on the management of critically ill pediatric patients in the PICU at Sultan Qaboos University Hospital, Oman.
This was a retrospective cohort study conducted in a five-bed PICU. Patients admitted to the PICU from January of 2011 to December of 2012 were reviewed. Those who have undergone bedside echocardiography during their ICU stay were recruited. Electronic patient record was used as data source.
Over a-24-month period, 424 patients were admitted in this PICU. One hundred and one clinically indicated transthoracic echocardiograms were performed. 81.8% of these presented new findings (n=82) that significantly impacted the clinical decision of patient management, namely, alteration in drug therapy and procedure, whereas no difference in the management was yielded in the remaining 17.8% of the studied cases.
Echocardiography had a significant impact on the management of PICU patients. Such salutary effect was consequently reflected on the outcome. Pediatric intensivists are encouraged to acquire such bedside skill.
超声心动图已成为儿科重症监护病房（PICU）不可或缺的床边诊断工具。它已被证明是临床决策制定过程中的一个重要影响因素。本研究旨在阐明超声心动图对阿曼苏丹卡布斯大学医院PICU中危重症儿科患者管理的影响。
这是一项在拥有五张床位的PICU中进行的回顾性队列研究。对2011年1月至2012年12月期间入住PICU的患者进行了回顾。招募了那些在ICU住院期间接受过床边超声心动图检查的患者。使用电子病历作为数据来源。
在24个月的时间里，该PICU共收治了424例患者。进行了101次临床指征性经胸超声心动图检查。其中81.8%（n = 82）呈现出新的发现，这些发现对患者管理的临床决策产生了重大影响，即药物治疗和操作的改变，而在其余17.8%的研究病例中，管理方面没有差异。
超声心动图对PICU患者的管理有显著影响。这种有益的效果进而反映在治疗结果上。鼓励儿科重症监护医生掌握这种床边技能。
