Predictors of outcome in pediatric septic shock: Experience from a tertiary care teaching hospital

  • Dr. Pratishtha Goyal Department of Pediatrics, SRMS Institute of Medical Sciences, Bareilly, Uttar Pradesh, India.
  • Dr. Surabhi Chandra Department of Pediatrics, SRMS Institute of Medical Sciences, Bareilly, Uttar Pradesh, India.
  • Dr. Sahil Goel Department of Pediatrics, SRMS Institute of Medical Sciences, Bareilly, Uttar Pradesh, India.
  • Dr. Praveen Kumar Department of Pediatrics, SRMS Institute of Medical Sciences, Bareilly, Uttar Pradesh, India.
  • Dr. Anita Kumari Department of Pediatrics, SRMS Institute of Medical Sciences, Bareilly, Uttar Pradesh, India.
  • Dr. P.L. Prasad Department of Pediatrics, SRMS Institute of Medical Sciences, Bareilly, Uttar Pradesh, India.
DOI: https://doi.org/10.17511/ijpr.2019.i09.09
Keywords: Septic shock, Mortality, Capillary refill time, Low

Abstract

Introduction: Septic shock is a common admission diagnosis in PICU. It is associated with high mortality.

Aim: The current study aimed at determining the predictors of outcome in pediatric septic shock in patients admitted to the PICU of a tertiary care teaching hospital.

Patients and Methods: It was a prospective, observational study done in a time period of 6 months (November 2018 to April 2019) during which patients of septic shock were evaluated. All cases were examined clinically and investigated with Complete Blood Count, Blood Culture and Sensitivity, urine routine examination, urine Culture and Sensitivity, tracheo-bronchial aspirate (in case of ventilated patients) and arterial blood gas analysis were done as a part of study protocol. The data so procured was analysed statistically and documented and the result was evaluated.

Results: A total of 54 patients of septic shock were admitted to the PICU during the study period of whom 47 patients were finally included as per the study protocol. Of these 9 patients expired and the remaining were discharged. On evaluating the role of different demographic, clinical and laboratory parameters between survivors and non- survivors for their association with mortality, only delayed capillary refill time on admission (p=0.008) and low mean pH (p=0.008) showed a statistically significant association with mortality.

Conclusion: A delayed capillary refill time on admission and a low mean pH were statistically significant predictors of mortality in this study.

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CITATION
DOI: 10.17511/ijpr.2019.i09.09
Published: 2019-09-30
How to Cite
Dr. Pratishtha Goyal, Dr. Surabhi Chandra, Dr. Sahil Goel, Dr. Praveen Kumar, Dr. Anita Kumari, & Dr. P.L. Prasad. (2019). Predictors of outcome in pediatric septic shock: Experience from a tertiary care teaching hospital. Pediatric Review: International Journal of Pediatric Research, 6(9), 489-494. https://doi.org/10.17511/ijpr.2019.i09.09
Issue
Vol 6 No 9 (2019): SEPTEMBER
Section
Original Article

Copyright (c) 2019 Author (s). Published by Siddharth Health Research and Social Welfare Society

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