Disease pattern, outcome and associated factors of patient admitted in pediatric intensive care unit at Tikur Anbessa Specialized Teaching Hospital, Addis Abeba,Ethiopia,2019.
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Date
2019-06
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Addis Abeba University
Abstract
Background: Advances in pediatrics especially in the field of intensive care have dramatically
improved the prognosis for the critically ill children. Numerous conditions that were previously
fatal are now treatable, and many children who previously would have sustained a permanent
disability now recover completely. The current evidence suggests that the sickest subgroups of
critically ill children are less likely to die if treated in the PICU in a tertiary care hospital.
Objectives: To assess the disease pattern, outcome and associated factor of admitted patients at
PICU Tikur Anbessa Specialized Hospital, Addis Ababa Ethiopia from January 2017 To January
2019.
Methods: Institutional based cross-sectional study was conducted. All patients who were
admitted at pediatrics ICU from January 2017 to January 2019 and met the criteria were
included. Data was collected using adapted questionnaire from chart review and registration
book. SPSS version 20 software was used for data entry and analysis. The ethical clearance was
obtained from AAU College of health sciences department of emergency medicine.
Result: Most of the study subjects were in the age range of less than 1 year 97(30.6%).50.5%
was female. The mean age was 4.5 ± 3 years. A majority 124(39.1%) were admitted from EOPD.
The mean PICU length of stay was 7.18 ± 9.12 days. The majority of patients admitted to PICU
71(22.4%) were due to respiratory problem and gastrointestinal disease is least admission
diagnosis 10 (3.2%). the mortality rate is, 125(39.3%) and main cause of death is cardiovascular
disease (25.6%)
Conclusion & Recommendation: Respiratory and Neurology diseases were the predominant
conditions leading to PICU admissions in our setting. 56.8% of patients used mechanical
ventilator. Mortality rate was significantly associated with cardiovascular disease compered to
other system classification and patient who use mechanical ventilator.This can be due to limited
infrastructure, few trained professional and resource, make it difficult to provide optimum care.
Tikur Anbessa Teaching Specialized Hospital should work more on PICU providing a highquality
intensive
care
to critically
ill
patients
focusing
on increase
PICU
capacity.
Description
Keywords
Disease pattern, outcome, PICU