Abstract

Pediatric intensive care unit (PICU) has a specific location for management of children with serious and severe diseases. The mortality in a PICU can reflect a hospital‘s health care quality and efficiency on handling with critical ill patients, and reduce the mortality in PICU will be the key to reduce the overall mortality in a children‘s hospital. Present study was aimed to characterize the profile of children admitted to a tertiary PICU in western rural India. Material and Methods: Present study was prospective, observational study, conducted in children of age >28 days to 12 years, either gender, requiring admission in PICU. Results: In present study 477 children admitted to PICU were studied. Majority were from 1 year to <5 years (36.48 %) & were male (53.24%). Maximum number of death was found in cardiovascular system(48.3%) then respiratory system (42.3%), infectious(41.4%), neurological (32.7%), hematological (29.2%), gastrointestinal system (12.5). Out of 477 of children admitted 276 (57%) patients survived, 177 (37%) patients died, 20 (4.1%) patients taken discharge against medical advice (AMA) and 4 (0.83%) patients was referred to higher centre. 182 patients had needed mechanical ventilation (38.1 %) and among those patients 164 patients were died (90.1 %). Majority patients were stayed for 1 day to < 3 days (205 patients). Maximum number of mortality rate was noted in patients admitted for < 1 day (58 %). There was 100% mortality of patients with prism score >30 and 92% mortality when prism score is >25 & difference was highly statistically significant (p<0.001). Conclusion: Higher mortality was noted in mechanical ventilated patients, PICU stay less than 24 hours, Prism score >30.

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