Özet:

Objective: To evaluate the clinical features, treatment modalities, responses to treatment, and outcomes of patients who were hospitalized in the pediatric intensive care unit (PICU). Material and Methods: The medical records of patients admitted to the Hospital of Adıyaman University, PICU between 1 January 2013 and 31 December 2013 were analyzed retrospectively. Chart data were examined for gender, age, diagnosis, place of residence, admission time, underlying chronic diseases, treatment modalities, duration of hospitalization, complications, outcomes and causes of death. Results: There were 434 (56.3%) males and 336 (43.7%) females. The median age and median length of PICU stay were 2.5 (2 month-16 years) years and 1 (1-30 days) day, respectively. Respiratory system diseases (35.9%), nervous system diseases (33.6%) and poisoning (27.1%) were the most common reasons for hospitalization. Antibiotics (68.5%), antivenoms (11.1%), inotropics (5.8%), and diuretics (5.8%) were the main treatment modalities. The percentage of patients who needed a mechanical ventilator (MV) was 5.4%. In the follow-up period, neurological (8.1%), hematological (5.1%), cardiac (5.2%), and urinary tract (2.8%) complications were detected. There were 586 (75.1%) patients transferred to other pediatrics services after their general condition had been stabilized, 134 (17.4%) were discharged from the PICU, 31 (4.1%) were referred to an advanced center, and 19 (2.4%) died. The most common reason for referral was the lack of the related subspecialist. The most common causes of death were respiratory failure and multiple organ failure. Although there are several factors affecting the clinical outcome, the results of regression analysis

Anahtar Kelimeler: