Predictors of prolonged stay in the pediatric intensive care unit

Paediatrica Indonesiana

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Title Predictors of prolonged stay in the pediatric intensive care unit
Creator Arafah, Yudha Fadhol
Murni, Indah Kartika
Rusmawatiningtyas, Desy
Description Background Prolonged stay in the pediatric intensive care unit (PICU) reflects not only disease severity and patient health status, but also the performance and quality of patient care.
Objective To to determine whether surgical procedure, severe malnourishment, cardiovascular condition, sepsis, and ventilator use were the predictors of prolonged PICU stay.
Methods This nested, case-control study was conducted with secondary data from medical records of pediatric inpatients at Dr. Sardjito General Hospital, Yogyakarta, Indonesia. We included pediatric patients aged 1 month-18 years treated in the PICU between 1 January - 31 December 2018. Predictors of prolonged stay were identified including surgical procedures, severe malnourishment, cardiovascular conditions, sepsis, and ventilator use. Logistic regression was used to identify independent predictors.
Results Subjects’ overall median age was 3.12 (IQR 0.76-18.8) years and the male to female ratio was 1:1. Median duration of ventilator use was 4 (IQR 1-21) days. The most common diagnosis was neurological disease (26.7%). Multivariate analysis showed that surgical procedure (OR 5.75; 95%CI 2.06 to 14.61) was statistically significant as an independent predictor of prolonged PICU stay.
Conclusion Surgical procedure is  the significant predictor of prolonged stay in PICU.
Publisher Indonesian Pediatric Society
Date 2020-02-18
Type info:eu-repo/semantics/article
Format application/pdf
Source Paediatrica Indonesiana; Vol 60 No 1 (2020): January 2020; 37-41
Language eng
Rights Copyright (c) 2020 Yudha Fadhol Arafah, Indah Kartika Murni, Desy Rusmawatiningtyas

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