عوامل موثر بر سرانجام بيماران بستري در واحد مراقبتهاي ويژه كودكان

Factors Effective on Outcome of the Pediatric Intensive Care Unit

Background and Objects: The intensive cares have dramatically improved in two recent decades. On the other hand pathophysiology of lite threatening processes and technical capacities of management has developed and resulted in improvement of clinically ill children. Intensive Care Unit (lCU) is the major source of expenditure in hospital and produces different levels of care such as mechanical ventilation and nomodynamic assessment which arc not available in other wards. These points dictate the necessity of continuous evaluation for qualified services. This study was designed to assess the effective factors on outcome of Pediatric Intensive Care Unit (PICU). Materials and Methods: In an analytical, cross- sectional study 1044 patients who were admitted from April 2005 to April 2007 were included. Data were analyzed with SPSS software using t-test, Chi- square and one way ANOYA tests. Level ofsignificance was p-: 0.05. Results: from 1044 admitted patients 435 underwent mechanical ventilation. The mean age of ventilated patients and the opposite group was 29/6 ±43!1 and 41/2 ± 44/5 respectively (p~O.OOI). The total mortality rate was 218 (20/9%) which 201 (41/6%) of them were in ventilated patients and 17 (2/9%);n opposite group. In patients with length of stay less than one day, the mortality rate was 31% and in opposite group 14.7% (p~O.OOI), which with elimination of first group (length of stay was 4/9± 10/4 and 3!1 ± 5 in dead patients and opposite group, respectively (p~O.OOI). The re-intubation rate was 13/9%(36 from 258) which 7 of them died and 29 saved. Conclusion: One of the most important effective factors on PICU outcome is the mortality of patients which are referred to this department on end-stages of diseases and regardless of consumption of resources; they can not be benefited.