Impact of malnutrition on pediatric risk of mortality score and outcome in Pediatric Intensive Care Unit.
| Autor: | Nangalu R; Department of Pediatrics, Dayanand Medical College and Hospital, Ludhiana, Punjab, India., Pooni PA; Department of Pediatrics, Dayanand Medical College and Hospital, Ludhiana, Punjab, India., Bhargav S; Department of Pediatrics, Dayanand Medical College and Hospital, Ludhiana, Punjab, India., Bains HS; Department of Pediatrics, Dayanand Medical College and Hospital, Ludhiana, Punjab, India. |
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| Jazyk: | angličtina |
| Zdroj: | Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine [Indian J Crit Care Med] 2016 Jul; Vol. 20 (7), pp. 385-90. |
| DOI: | 10.4103/0972-5229.186218 |
| Abstrakt: | Objectives: This study was done to determine the effect of malnutrition on mortality in Pediatric Intensive Care Unit (PICU) and on the pediatric risk of mortality (PRISM) scoring. Subjects and Methods: This was a prospective study done over 1 year. There were total 400 patients (1 month 14 years), who were divided into cases with weight for age <3(rd) centile and controls with ≥3(rd) centile of WHO charts. Cases were subdivided into mild/moderate (61-80% of expected weight for age) and severe malnutrition (<60%). Results: Out of total, 38.5% patients were underweight, and malnutrition was more in infancy, 61/104, i.e. 58.5% (P - 0.003). There was no significant difference in vitals at admission. Cases needed prolonged mechanical ventilation (P - 0.0063) and hospital stay (P - 0.0332) compared to controls. Mean and median PRISM scores were comparable in both the groups, but mortality was significantly higher in severely malnourished (P value 0.027). Conclusion: Severe malnutrition is independently associated with higher mortality even with similar PRISM score. There is need to give an additional score to children with weight for age <60% of expected. |
| Databáze: | MEDLINE |
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