Mortality pattern in pediatric intensive care unit patients of a tertiary care teaching hospital: a retrospective analysis
Abstract
Background: A well functioning Pediatric Intensive Care Unit (PICU) contributes significantly in improving survival of critically sick children.
Method: We retrospectively studied medical record of all children aged 1 month to 12 years old admitted in our PICU over a five years period. Data was collected in a predefined proforma that included age, gender, co- morbidities and final diagnosis at the time of death. Patients who left the hospital against medical advice (LAMA) were also noted.
Result: Out of 1767 admissions, 87 patients died with mortality rate of 4.92%; male: female ratio of 2:1. 55.1% deaths belonged to 1month to 5 years age group and 41(47.13%) cases died within 24 hours of admission. Central Nervous System diseases were the commonest cause of mortality (35%) followed by Respiratory system diseases (28.73%). Many critically sick patients (14.8%) left the hospital against medical advice (LAMA).
Conclusion: Mortality rate is quite low in our PICU; although high LAMA rate may be causing some bias in the result.
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