Olfat Mehrnaz, Hosseinzadeh Rayeheh, Sharifzadeh Meisam, Hassani Seyed Abbas, Goudarzi Mehrdad, Mohammadpour Masoud
Children's Medical Center, Pediatrics Center of Excellence, Tehran University of Medical Sciences, Tehran, Iran.
Division of Pediatric Intensive Care, Department of Pediatrics, Children's Medical Center, Tehran University of Medical Sciences, Tehran, Iran.
Indian J Pediatr. 2024 Feb 15. doi: 10.1007/s12098-024-05032-1.
To assess the effect of the Infant intensive care unit (InICU), a specialized unit for critically ill infants established in 2016 in authors' hospital, on infant mortality and compare the outcome with the current Pediatric intensive care units (PICU).
In this retrospective cross-sectional study, two groups were defined; the first included expired patients aged 1 mo to 2 y admitted to PICU before the establishment of the InICU (the PICU group). The second included age-matched expired patients admitted to the InICU (the InICU group). Data were recorded using a questionnaire.
The authors found that the age, sex, underlying diseases, the leading cause of admission to the ICU, time of death, hospital and ICU length of stay, and the pediatric index of mortality 2 (PIM 2) score were same between the two groups. The incidence of mortality in the PICU group was 10.66 in 1000 person-month. This value was 6.37 for the InICU group (P-value <0.001). The relative risk of mortality of patients admitted to the PICU group compared to the InICU group was 1.67 (P-value <0.001).
Establishment of age specific InICU for infants may be beneficial in reducing infant mortality.
评估作者所在医院于2016年设立的针对危重症婴儿的专科病房——婴儿重症监护病房（InICU）对婴儿死亡率的影响，并将其结果与当前的儿科重症监护病房（PICU）进行比较。
在这项回顾性横断面研究中，定义了两组；第一组包括在InICU设立之前入住PICU的1个月至2岁的死亡患者（PICU组）。第二组包括年龄匹配的入住InICU的死亡患者（InICU组）。使用问卷记录数据。
作者发现两组之间的年龄、性别、基础疾病、入住ICU的主要原因、死亡时间、住院和ICU住院时间以及儿科死亡率指数2（PIM 2）评分相同。PICU组的死亡率为每1000人月10.66例。InICU组的这一数值为6.37（P值<0.001）。与InICU组相比，入住PICU组患者的死亡相对风险为1.67（P值<0.001）。
为婴儿设立特定年龄的InICU可能有助于降低婴儿死亡率。
