Epidemiological Characteristics of Patients in the Pediatric Intensive Care Unit of Calderón General Teaching Hospital, Quito Observational Study
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Abstract
Introduction: The assessment of severity, clinical instability and prognosis is a vital component of Pediatric Intensive Care Units (PICU). For this reason, the systematic evaluation of epidemiological indicators in these services plays a fundamental role in public health services. The objective of this study was to identify the epidemiological characteristics of patients in the ICU of the General Teaching Hospital of Calderón, Quito from 2018 to 2019.
Methods: We conducted a descriptive, retrospective, and cross-sectional study by reviewing the medical records of all pediatric patients admitted in 2018 and 2019. The following variables were considered: age, gender, cause of admission, ventilatory support, infections associated with health care (IAHC), PICU stay, and cause of discharge.
Results: 217 cases were included. There was a predominance of males 130/217 (60%) and infants 116/217 (53%). Infections were the main cause of admission 137/217 (63%). An important sector of patients required invasive mechanical ventilation 84/217 (38.7%). IAHC rates were minimal (pneumonia 3.2%; central line catheter infection 2.3%). The mean hospital stay in the PICU was 4.8 ± 0.8 days and mortality was 5.99% (95% CI 5.78-6.21%).
Conclusion: These results agree with international reports of mortality, prevalence, and epidemiology.
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Martha Roseny Jimenez Freites, Intensive Care Unit, Calderón General Teaching Hospital, Quito
Physician-surgeon from the University of Carabobo-Venezuela, Specialist in Pediatrics and Childcare from the University of Carabobo-Venezuela. Clerk of the PICU service of the Calderón General Teaching Hospital
https://orcid.org/0000-0002-5551-1305
Diana Maribel Vega Munoz, Intensive Care Unit, Calderón General Teaching Hospital, Quito
Doctor from the Central University of Ecuador, Specialist in Pediatrics from the Pontificia Universidad Católica del Ecuador. Clerk of the PICU service of the Calderón General Teaching Hospital https://orcid.org/0000-0002-0264-3646
Deivis Enrique Ortega Calvo, Intensive Care Unit, Calderón General Teaching Hospital, Quito
Doctor-surgeon from the Francisco de Miranda National Experimental University-Venezuela, Specialist in Pediatrics and Childcare from the University of Carabobo-Venezuela. Clerk of the PICU service of the Calderón General Teaching Hospital. https://orcid.org/0000-0002-7363-2004
Maria Eugenia Alvarez Perdomo, Intensive Care Unit, Calderón General Teaching Hospital, Quito
Physician-surgeon from the University of Zulia-Maracaibo-Venezuela, Specialist in Childcare and Pediatrics from the University of the Andes, Bogotá-Colombia. Specialist in Intensive Care and critical mention, mention: Pediatrics from the Universidad de los Andes, Bogotá-Colombia. Clerk of the PICU service of the Calderón General Teaching Hospital. https://orcid.org/0000-0003-0365-7625
Carla Viviana Gonzalez Munoz, Pediatric Service General Teaching Hospital of Calderón, Quito
Doctor by the San Francisco de Quito University, Specialist in Pediatrics by the International University of Ecuador, Specialist in Medicine: Pediatric Endocrinology by the National Autonomous University of Mexico, Mexico D.F. Coordinator of Pediatrics, General Teaching Hospital of Calderón, Quito.