Outcome among mechanically ventilated children in a tertiary care hospital.

Abstract

Objective: To determine the frequency of outcomes among children who are mechanically ventilated in PICU. Study Design: Prospective Observational study. Setting: National Institute of Child Health (NICH). Period: January 2020 to June 2020. Material & Methods: All children who fulfill the sample inclusion criteria were registered for research and prior consent was taken from parents or guardian by primary researcher. The primary investigator followed the patient till discharge from PICU. The patient information was obtained through medical record, patients’ charts, and directly by following the patients prospectively. Data was analyzed by employing SPSS version 25. In the test, significance was determined by P value of less than 0.05. Results: Mean age of patients was 6.73±3.90 years. There was 55.7% male and 44.3% female patients. Mean weight, duration of stay in PICU, mechanical ventilation days, PEEP, PIP, Pressure Support and FIO₂ was 21.92±10.29 kg, 6.73±5.46 days, 5.78±4.43 days, 5.36±0.55, 16.87±1.03, 9.63±0.78 and 55.05±19.47 respectively. In our study, mortality rate was 37%. We found significant association of age group, cardiogenic shock and Sepsis with outcome. Conclusion: Mortality rate among mechanically ventilated patients was 37% while outcome was significantly associated with age group, cardiogenic shock and sepsis.