A Prospective Study On Clinical Profile And Outcome Of Ventilated Children In A Pediatric Intensive Care Unit Of A Tertiary Care Teaching Hospital, Telangana

Background:Mechanical Ventilation (MV) has become frequently used life-supportive management inPediatricIntensive Care Units (PICU).But very little data is available from developing countries regarding the outcome analysis coupled with demographic status and clinical details which is a challenge for the modern day intensivists. Objective: To determine the characteristics and outcome of ventilated patients in the paediatric medical intensive care unit in a tertiary care teaching hospital, Telangana. Methods:A prospective descriptive study was conducted on ventilated children admitted to PICU from July to December 2015.The factors studied included demographic and clinical profile, length of stay on ventilator, indicationsfor ventilation and the final outcome Results:A total of 144 (23%) casesadmitted in PICU were ventilated over the period of six months. Male to female ratio was 1.36: 1.Neurological (27.8%) and respiratory (25.6%) causes were found to be the commonest indicators of ventilation in the study. The average ventilator stay was 2.4 days and hospital stay was 9.71 days. 51% of ventilated cases were infants and 81% of total deaths occurred under five years age group.49.3% of ventilated cases were successfully discharged and neurological cases had a better outcome (64%) among all the cases. Conclusion:This study provides an insight into the present status of PICU in a government tertiary teaching hospital analyses the limitations and recommends the need to strengthen PICU to improve the quality care for the better survival of critically ill children.