Citation

Jayashree M, Singhi S, Gupta A. Indian Pediatr. 2006; 43(8): 715-719.

Affiliation

Department of Pediatrics, Advanced Pediatrics Center, Postgraduate Institute of Medical Education and Research, Chandigarh, India. Correspondence to: Dr. Sunit Singhi, Professor of Pediatrics, Advanced Pediatrics Center, PGIMER, Chandigarh 160 012, India.

Copyright

(Copyright © 2006, Indian Pediatrics)

DOI

unavailable

PMID

16951435

Abstract

The retrospective study included 48 children between 8.5 months - 10 years, admitted to the PICU of an urban, tertiary care, teaching hospital in northern India from January 1995 to December 2001. Eighteen (38%) patients were hypoxemic on arrival, of which 8 (45%) required mechanical ventilation. Compared to the non-hypoxemic children, the hypoxemic patients were more likely to have received gastric lavage before arrival to our center (Odds Ratio 23.2, 95% CI 2.4 - 560.7) and had higher frequency of severe respiratory distress and leucocytosis (Odds Ratio 8.0, 95% CI 1.79 -38.6). On multiple regression analysis, we could not identify any particular variable that could predict hypoxemia. Secondary pneumonia developed in 16 (33.3%), with the duration of PICU stay being longer in these patients as against those who did not (144 hours vs 72 hours, p <0.05). Two (4.2%) children died and one suffered hypoxic sequelae. Prior lavage, hypoxemia at admission, need for ventilation, secondary sepsis and ventilator related complications were associated with poor outcome.

Language: en