Butlinski Anna K, Butt Warwick W
Murdoch Childrens Research Institute, Melbourne, VIC, Australia.
Crit Care Resusc. 2017 Mar;19(1):23-28.
To describe the characteristics, pattern of injury and outcome of children admitted to a paediatric intensive care unit (PICU) following an inflicted injury.
DESIGN, SETTING AND PARTICIPANTS: A retrospective review of hospital records from a 30-bed PICU in a university teaching hospital, examining data for children admitted to the PICU after an inflicted injury from 1 January 2005 to 31 December 2013.
The hospital records of 46 children with an inflicted injury were reviewed. Outcome was categorised using the Pediatric Overall Performance Category score.
Sixty-one percent of children admitted to the PICU after an inflicted injury were aged under 12 months. Eighty-three percent of children required admission for a head injury. Radiological findings suggestive of pre-existing inflicted injury were evident in 50% of children. Follow-up information was available for 41 children; 76% were alive at follow-up while 24% had died. Among survivors, outcome was evaluated at a median of 11.3 months after admission to the PICU; 74% had a favourable outcome, despite 61% of these children having a disability. The remaining 26% of children had an unfavourable outcome and were likely to live dependent on care.
The majority of children admitted to intensive care following an inflicted injury are aged under 12 months. Children most commonly require intensive care for management of a head injury. Many children have radiological findings suggestive of pre-existing inflicted injury. Despite high mortality, the majority of children survive. While most are likely to be independent, many children will have residual disabilities.
描述儿科重症监护病房（PICU）收治的受虐儿童的特征、损伤模式及预后。
设计、地点和参与者：对一所大学教学医院中拥有30张床位的PICU的医院记录进行回顾性研究，审查2005年1月1日至2013年12月31日期间因受虐而入住PICU的儿童的数据。
对46例受虐儿童的医院记录进行回顾。使用儿科总体表现类别评分对预后进行分类。
因受虐而入住PICU的儿童中，61%年龄在12个月以下。83%的儿童因头部受伤而需要入院治疗。50%的儿童有影像学检查结果提示既往存在受虐损伤。41名儿童有随访信息；随访时76%存活，24%死亡。在幸存者中，在入住PICU后中位11.3个月时评估预后；74%预后良好，尽管这些儿童中有61%存在残疾。其余26%的儿童预后不良，可能需依赖他人照顾生活。
因受虐而入住重症监护病房的儿童大多数年龄在12个月以下。儿童最常因头部受伤的治疗而需要重症监护。许多儿童有影像学检查结果提示既往存在受虐损伤。尽管死亡率高，但大多数儿童存活。虽然大多数可能能够独立生活，但许多儿童会有残留残疾。
