Evaluation of Pediatric Patient Admissions and Outcomes in Adult Intensive Care Units Over a 5-Year Period

Yıl 2024, Cilt: 24 Sayı: 1, 1 - 4, 07.05.2024

Azime Bulut , Fatma Alkan Bayburt , İlke Tamdoğan , Muhammet Bulut

https://doi.org/10.26650/jchild.2024.1416243

Öz

Objective: This study aimed to outline the demographic characteristics and mortality rates of pediatric patients managed in the adult intensive care units (ICUs) of Giresun Training and Research Hospital from 2018 to 2023.

Methods: We conducted a retrospective review of records pertaining to 74 patients aged between 6 months and 18 years who were admitted to our ICU and received treatment for 24 h or more. Data collected included patient age, gender, diagnosis, APACHE II scores, requirement for mechanical ventilation, length of stay, Glasgow Coma Scale scores, and mortality rates.

Results: Among the patients included, 59.4% were male, with an average age of 7.79±5.7 years. Most admissions were due to trauma (n = 57, 77.02%). The mean ICU stay was 3.78±3.37 days, and out of the 70 patients who completed their follow-up at our hospital, 4 (5.71%) died.

Conclusions: Similar to global trends, a significant proportion of pediatric intensive care cases in our country are managed in adult ICUs. Mortality and morbidity vary based on the severity of the patient’s condition. Consideration should be given to implementing training programs for adult ICU teams until the availability of pediatric ICU beds and specialists is adequate.

Anahtar Kelimeler

Pediatric intensive care, adult intensive care, mortality

Kaynakça

• https://www.mevzuat.gov.tr/mevzuat?MevzuatNo=15146&Mev zuatTur=9&MevzuatTertip=5. google scholar
• Köksal G, Karaören G, Tütüncü Ç, Polat Ç, Alkan F, Tunalı Y, Öz H. Our 13 year- review of pediatric patients in intensive care. Cerrahpaşa Tıp Dergisi, 2018, 42(1):94-97 doi:10.26650/ cjm.2018.42.1.4. google scholar
• Levin D, Downes JJ, Todres ID. History of pediatric critical care medicine J Pediatr Intensive Care. 2013 Dec;2(4):147-167. doi: 10.3233/PIC-13068. google scholar
• https://cayd.org.tr/files/turkiye-de-cocuk-yogun-bakimi-hekim-insan-gucu-raporu-2015-xt.pdf google scholar
• Sağlık İstatistikleri Yıllığı 2022 Haber Bülteni, T.C. Sağlık Bakanlığı Sağlık Bilgi Sistemleri Genel Müdürlüğü 2023 google scholar
• Almossawi O, Friend A, Palla L et al. Is there a sex difference in mortality rates in paediatric intensive care units?: a systematic review. Front Pediatr. 2023 Oct 9:11:1225684. doi: 10.3389/ fped.2023.1225684. google scholar
• Orhan MF, Yakut İH, İkiz MA. Evaluatıon of 938 ınpatıents for 2 years ın pedıatrıc ıntensıve care unit. Turkish J Pediatr Dis 2012;6:228-31. google scholar
• Konca Ç, Tekin M, Karakoç F, Turgut M. The Evaluation of 770 Patients in Pediatric Intensive Care Units: A Single Center Experience. Turkish Journal of Pediatric Disease. DOI: 10.12956/tjpd.2015.120 google scholar
• Alshaikh R, AlKhalifah A, Fayed A, AlYousef S. Factors influencing the length of stay among patients admitted to a tertiary pediatric intensive care unit in Saudi Arabia. Front Pediatr. 2022 Dec 19:10:1093160. doi: 10.3389/fped.2022.1093160. google scholar
• Pediatric Intensive Care Services in Turkey, 2006. Turkish Association of Pediatric Emergency and Intensive Care. google scholar
• Tutanç M, Başarslan F, Karcıoğlu M, Yel S, Kaplan M, Arıca S et al. Evaluation of Patients Hospitalized in Pediatric Intensive Care Unit. 2011, Volume: 13 Issue: 3, 18 - 22, 01.12.2011 google scholar
• Botan E, Gün E, Şden EK, Yöndem C, Gurbanov A, Balaban B et al. Characteristics and timing of mortality in children dying in pediatric intensive care: a 5-year experience. Acute Crit Care. 2022 Nov;37(4):644-653. doi: 10.4266/acc.2022.00395. Epub 2022 Nov 11.Johnson KT, Görges M, Murthy S. Characteristics and Timing of Mortality in Children Dying With Infections in North American PICUs.Pediatr Crit Care Med. 2021 Apr 1;22(4):365-379. doi: 10.1097/PCC.0000000000002667. google scholar
• Shann F, A Argent. Pediatric intensive care in developing countries,in Pediatric Critical Care, B.P. Fuhrman and J.J. Zimmerman, Editors.2006, C.V. Mosby: Philadelphia. google scholar
• Ağin H, Büyüktiryaki M, Atlihan F, Asilsoy S, Bak M. A Novel Scoring System for Pediatric Intensive Care Unit Patients: Modified APACHE II and Comparison with Other Scoring Systems. Türkiye Klinikleri. Tip Bilimleri Dergisi: Turkiye Klinikleri Journal of Medical Sciences; Balgat Vol. 30, Iss. 5, (2010): 1611-1621. google scholar
• Grinkeviciüte DE, Kevalas R, Saferis V, Matukevicius A, Ragaisis V, Tamasauskas A. Predictive value of scoring system in severe pediatric head injury. Medicina (Kaunas), 2007;43:861-9. google scholar
• Melo JR, Di Rocco F, Lemos-Junior LP, Roujeau T, Thelot B, Sainte-Rose C, et al. Defenestration in children younger than 6 years old: mortality predictors in severe head trauma. Childs Nerv Syst, 2009; 25(9):1077-1083. google scholar
• George EC, Walker AS, Kiguli S, et al: Predicting mortality in sick African children: The FEAST Paediatric Emergency Triage (PET) score. BMC Med 2015; 13:1-12 google scholar