Özet:

Objective: The aim of this study were to assess the profile, outcome and factors affecting the prognosis of children admitted to the Pediatric Intensive Care Unit (PICU) and to contribute to effective use of the insufficient number of units in Turkey.Material and Methods: 454 children who were admitted to our PICU between January 2014 and December 2014 were assessed retrospectively. Age, gender, diagnosis, comorbidities, mechanical ventilation support, mechanical ventilation duration, length of stay, pediatric risk of mortality (PRISM) III score, pediatric logistic organ dysfunction (PELOD) score, pediatric index of mortality (PIM) II score, nosocomial infections, invasive procedures and prognosis were recorded for all patients.Results: 248 (54.6%) patients were male and 206 (45.4%) were female. The median age of the patients was 24 months (1-216 months) and the median length of stay was 2 days (1-131 days). The most common diagnoses were respiratory tract diseases (n=197, 42.7%) and neurological diseases (n=71, 15.6%). Median PRISM III, PELOD, and PIM II scores on admission were 9 , 11 , and 10.4% (0.1%-98.9%) respectively. PRISM III was the most significant score to predict mortality among the three scores (p<0.001). Mechanical ventilation (MV) was required in 223 (49.1%) patients. The median duration of MV was 4 days (1-131 days). The most common invasive procedure was central venous catheterisation. Nosocomial infections were seen in 49 (10.8%) patients. The mortality rate was 17%. We observed that the duration of mechanical ventilation and length of stay in the PICU had a significant effect on mortality (p<0.001, p=0.002, respectively). conclusion: Duration of mechanical ventilation and length of stay in the PICU could affect mortality and the PRISM III score is effective in predicting PICU mortality

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