Ballot Daynia Elizabeth, Ramdin Tanusha, White Debbie Ann, Lipman Jeffrey
Paediatric/Neonatal Intensive Care Unit, Department of Paediatrics and Child Health, Charlotte Maxeke Johannesburg Academic Hospital, Faculty of Health Sciences, University of the Witwatersrand, Private Bag X 39, 2000, Johannesburg, South Africa.
Intensive Care Services, Royal Brisbane and Women's Hospital and The University of Queensland, Herston, Australia.
BMC Res Notes. 2018 Nov 26;11(1):829. doi: 10.1186/s13104-018-3946-9.
Paediatric intensive care resources are limited in sub-Saharan Africa. The mortality rate in a combined Paediatric/Neonatal Intensive Care Unit in Johannesburg, South Africa was almost double that in a dedicated paediatric intensive care unit in the same country. This study aimed to compare the raw mortality rate with that predicted with the Paediatric Index of Mortality (version 3), by doing a retrospective analysis of an existing database.
A total of 530 patients admitted to the intensive care unit between 1 January 2015 and 31 December 2017 were included. The raw mortality rate was 27.1% and the predicted mortality rate was 27.0% (p = 0.971). Cardiac arrest during ICU admission (p < 0.001), non-reactive pupils (0.035), inotropic support (p < 0.001) and renal disease (p = 0.002) were all associated with an increased risk of mortality. These findings indicate that the high mortality rate is due to the severity of illness in the patients that are admitted. It also indicates that the quality of care delivered is acceptable.
撒哈拉以南非洲地区的儿科重症监护资源有限。南非约翰内斯堡一家儿科/新生儿重症监护联合病房的死亡率几乎是该国一家专门儿科重症监护病房的两倍。本研究旨在通过对现有数据库进行回顾性分析，将实际死亡率与用儿科死亡率指数（第3版）预测的死亡率进行比较。
纳入了2015年1月1日至2017年12月31日期间入住重症监护病房的530例患者。实际死亡率为27.1%，预测死亡率为27.0%（p = 0.971）。重症监护病房入院期间心脏骤停（p < 0.001）、瞳孔无反应（0.035）、使用血管活性药物支持（p < 0.001）和肾病（p = 0.002）均与死亡风险增加相关。这些发现表明，高死亡率是由于入院患者病情严重所致。这也表明所提供的护理质量是可以接受的。
