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Please use this identifier to cite or link to this item: http://repository.li.mahidol.ac.th/dspace/handle/123456789/15044
Title: Deaths in a paediatric intensive care unit: A review over three years
Authors: Anant Khositseth
Nattachai Anantasit
Jarin Vaewpanich
Mahidol University
Keywords: Medicine
Issue Date: 1-Jan-2012
Citation: Sri Lanka Journalof Child Health. Vol.41, No.4 (2012), 166-170
Abstract: Background: Deaths in paediatric intensive care units (PICUs) are sometimes unavoidable. The decision to withdraw or withhold treatment is important especially in places where there are limited resources. Objective: To evaluate the modes of death and underlying diseases of patients' deaths in a PICU. Method: We retrospectively reviewed the clinical features and management of consecutive nonsurvivors in the PICU at a tertiary care University Hospital in a developing country over a three-year period. Results: Of 1,389 admissions, 110 (8%) patients died. The median age of the deaths was 4.1 years. Most (86%) patients had underlying diseases including congenital heart diseases (27%) and malignancies (23%). Forty-seven patients died with active treatment (AT), 60 died with life support limitation (LSL), and 3 had brain death (BD). The median length of stay (LOS) in AT group was 3 days and this was not significantly different (p=0.056) from the median LOS in LSL group which was 5 days. LOS less than 3 days, postoperative cases and underlying diseases of the cardiovascular system were factors associated with the AT group. The three common complications leading to death were multi-organ failure, septicaemia with septic shock and respiratory failure. Conclusions: Congenital heart diseases and malignancies were the two common underlying diseases found in non-survivors. LSL was the common mode of death in PICU.
URI: https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=84871755166&origin=inward
http://repository.li.mahidol.ac.th/dspace/handle/123456789/15044
ISSN: 13915452
Appears in Collections:Scopus 2011-2015

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