Poster Discussion Abstracts
Aims & Objectives:
To evaluate the morbidity and outcomes of mechanically ventilated children in the PICU and study their functional quality of life after discharge.
Children (1 month to 18 years) admitted and mechanically ventilated in the PICU of a tertiary care hospital were enrolled prospectively from August 2015 to December 2016. Children ventilated for less than 6 hours were excluded from the study. Functional status scale (FSS) based on six domains was used for assessment of functional quality at the time of admission, discharge and 3, 6 & 12 months after discharge. 88% of the children completed follow up at 1 year.
Among 143 mechanically ventilated children, maximum (58%) were aged less than 5 years, with mean duration of PICU stay of 5.09 days. The mortality rate was 25.2% among the ventilated patients. Neurological cause was the main reason for ventilation (46.9%) followed by respiratory (26.6%). A total of 48 complications were noted, with failed extubation being the most common (29.1%). 29.5% had a poor functional status at the time of discharge, out of which 83% improved significantly at the end of 12 months follow-up. Proportion of children showing improvement per domain specific FSS were- Mental 66.6%, Sensory 80%, Communication 58.3%, Motor 26.6% and Feeding 70.5%. In Respiratory domain all children showed improvement, with one child requiring tracheostomy after discharge hence affecting the functional status.
Functional status of children at discharge was affected, mainly due to underlying neurological causes, but showed significant improvement during follow-up and was favorable at one year.
©2018The Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies