AIM To evaluate mortality of critically ill children admitted with meningococcal disease. METHODS Prospective study of all children admitted to a regional paediatric intensive care unit (PICU) between January 1995 and March 1998 with meningococcal disease. Outcome measures were actual overall mortality, predicted mortality (by PRISM), and standardised mortality ratio. RESULTS A total of 123...

BACKGROUND Children who have suffered from critical illnesses that required treatment in a paediatric intensive care unit (PICU) have long-term physical and neurodevelopmental impairments. The mechanisms underlying this legacy remain largely unknown. In patients suffering from chronic diseases hallmarked by inflammation and oxidative stress, poor long-term outcome has been associated with short...

OBJECTIVE ICU resources may be overwhelmed by a mass casualty event, triggering a conversion to Crisis Standards of Care in which critical care support is diverted away from patients least likely to benefit, with the goal of improving population survival. We aimed to devise a Crisis Standards of Care triage allocation scheme specifically for children. DESIGN A triage scheme is proposed in whi...

OBJECTIVE Determine if the shortest sampling interval for laboratory variables used to estimate baseline severity of illness in pediatric critical care is equivalently sensitive across multiple sites without site-specific bias, while accounting for the vast majority of dysfunction compared with the standard 0- to 12-hour Pediatric Risk of Mortality III score. DESIGN Prospective random patient...

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 ventilat...

The aim of this study was to describe clinical profiles and outcomes of children admitted directly from the Emergency Room (ER) to the Pediatric Intensive Care Unit (PICU) of academic hospital. The medical records of all children (1 month to 16 years) admitted in PICU from ER, from January 2011 to December 2012 were reviewed. Of the 26,774 patients seen in the ER during the study period, 468 (1...

BACKGROUND Acute respiratory distress syndrome (ARDS) is one of the most lethal diseases encountered in the pediatric intensive care unit (PICU). The etiological pathogens and prognostic factors of severe ARDS of pulmonary origin in children with respiratory virus infections were prospectively investigated. METHODS Enrolled children fulfilled the following criteria: (1) PICU admission; (2) ag...

OBJECTIVES To determine whether Pediatric Intensive Care Unit (PICU) hospitalization results in adverse psychological effects and to identify the contributory factors. SETTING Level III PICU of a tertiary center. DESIGN Prospective cohort study. METHODS Consecutive patients 5 years or older admitted to PICU for at least 48 hours constituted the study population. Controls were age and sex ...

introduction: pediatric intensive care unit (picu) has a specific location for management of children with serious and severe diseases. methods: this is s crass-sectional – analytical study was performed on all children admitted in boali hospitals picu from march 2010 to march 2012 (2 years). 937 patients were analyzed. results: out of 490 patient admitted in picu (march2010 to march 2011), 35 ...

INTRODUCTION Cardiac troponin T (cTnT) has been used to assess prevalence of myocardial injury in critically ill children. The majority of studies investigated patients undergoing cardiac surgery. Myocardial injury has been associated with increased mortality. Our objectives were to investigate whether cTnT levels are elevated in infants without congenital heart disease admitted to the paediatr...