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Abstract PD-031: OUTCOMES, MORBIDITY AND FOLLOW UP OF MECHANICALLY VENTILATED PATIENTS ADMITTED IN THE PAEDIATRIC INTENSIVE CARE UNIT IN A TERTIARY CARE CENTRE–A PROSPECTIVE OBSERVATIONAL STUDY

Senthil Murugan, S.1; Sankaranarayanan, S.1

Pediatric Critical Care Medicine: June 2018 - Volume 19 - Issue 6S - p 39
doi: 10.1097/01.pcc.0000537433.12525.eb
Poster Discussion Abstracts
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1Sri Ramachandra Medical College and Research Institute, Department of Paediatrics, Chennai, India

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Aims & Objectives:

To evaluate the morbidity and outcomes of mechanically ventilated children in the PICU and study their functional quality of life after discharge.

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Methods

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.

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Results

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.

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Conclusions

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.

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©2018The Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies