Incidence of new morbidity based on Functional Status Scale in children on discharge from pediatric intensive care unit of a developing country: A single-center observational study

A. Haque, Shoaib Bhatti, Saira Ahmed, I. Muhammad
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引用次数: 2

Abstract

Background: Recently, short-term outcome among survival of children from pediatric intensive care unit (PICU) is assessed using the Functional Status Scale (FSS). New morbidity was defined as an increase in FSS score of ≥3 points from baseline to discharge from PICU. The objective of the study was to assess the incidence of newly acquired morbidity based on FSS in children on discharge from PICU. Subjects and Methods: A cross-sectional retrospective study was conducted on children (1 month–15 years) who were discharged alive from PICU from November 2021 to January 2022. The functional status was evaluated using FSS on the 1st day of admission and discharge from PICU to measure newly acquired morbidity. Results: Of a total of 200 patients, 155 patients were included in the study. The mean age was 3.79 ± 3.76 years, and 63.2% (98) were male. The mean PRISM score was 12.99 ± 5.22. The most common diagnostic categories were acute respiratory illnesses (41.3%) and infectious diseases (23.2%). The median FSS was 6.00 on admission, and the mean FSS on discharge was 7.02 ± 2.22. The incidence of morbidity was 12.2% (19/155). Young children and children with neurological diseases were highly associated with new morbidity in critically ill children on discharge from PICU. However, there was no statistical significance. The mortality rate was 11.5% during the same period. Conclusions: The incidence of new morbidity in critically ill pediatric patients at PICU discharge was 12.2%. Young age and children with neurological diseases were at high risk for new morbidity. Most of the patients (>94%) were discharged with good functional status.
基于功能状态量表的发展中国家儿科重症监护室出院儿童新发发病率:一项单中心观察性研究
背景:最近,使用功能状态量表(FSS)评估了儿科重症监护室(PICU)儿童存活率的短期结果。新发病率定义为从基线到PICU出院FSS评分增加≥3分。本研究的目的是评估PICU出院儿童中基于FSS的新获得性发病率。受试者和方法:对2021年11月至2022年1月从PICU活着出院的儿童(1个月至15岁)进行横断面回顾性研究。在PICU入院和出院的第一天使用FSS评估功能状态,以测量新获得的发病率。结果:在总共200名患者中,155名患者被纳入研究。平均年龄3.79±3.76岁,男性占63.2%(98)。PRISM平均得分为12.99±5.22。最常见的诊断类别是急性呼吸系统疾病(41.3%)和传染病(23.2%)。入院时FSS中位数为6.00,出院时FSS均值为7.02±2.22。发病率为12.2%(19/155)。幼儿和患有神经系统疾病的儿童与PICU出院的危重儿童的新发病率高度相关。然而,没有统计学意义。同期死亡率为11.5%。结论:在PICU出院的危重儿科患者中,新发病率为12.2%。年轻人和患有神经系统疾病的儿童是新发病的高危人群。大多数患者(>94%)出院时功能状况良好。
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