reasons for admission and results in children under five in pediatric intensive care Bugando hospital in the past one year (July 2006-June 2007) of this research was to determine the reasons for admission and outcome in pediatric intensive care unit in underfives Bugando Medical Center, from July 2006 to June 2007. intensive care at BMC are available in two units, and Nicu AICU. Study design Methodology , information on age, refferal source, time recording, diagnosis and length of stay and the results collected from July 2006 in June 2007 and analyzed using Epi Info developed by the CDC, a 2005 version. Results: 471 patients were admitted to neonatal intensive care unit and 249 patients in July 2006 to June 2007 AICU. NICU patients: 56.6% were male and 43.4% were women. The mortality rate was higher among women (59.3%). The total mortality in neonates in the NICU is approved for the past year of 58.1%. Prematurity and birth asphyxia were the commonest causes of admission Nicu, 36.7% and 25.1%. Other participants with a congenital heart defect, aspiration pneumonia, hypothermia, anemia etc70.2% and 72.4% of patients admitted because of prematurity and sepsis and death in NICU.The average length of stay was 4.73 hours. AICU patients : 52.6% were male, while 47.4% were women. The majority of patients developed the need for intensive care, while permitted in the stations, and has survived the majority in both sources of referral. The overall mortality was 45.4% in AICU and mortality was higher among male patients (46.6%) compared to female patients (44.1%). The majority of patients during the hours of the afternoon (32.5%) were added, while the mortality rate was higher among patients admitted during the night (60.3%). Malaria and pneumonia were the leading cause of admission AICU, 27.7% and 24.1% respectively. Other causes include head trauma, congenital heart defects, postoperative care, sepsis, meningitis, malnutrition, diarrhea, burns, poisoning, tuberculosis and pleural effusion etc94.1% of admitted patients died due to malnutrition in APCU.The average length of stay for all patients was 60 hours. To determine the modes of admission in pediatric intensive care, including age, sex, diagnosis, date of admission and referral source. To describe patterns of disease outcome in the management APCU To determine the number and causes of mortality and morbidity in underfives to determine the length of admission to the exit of the PICU or death.
building is located in H2 and receives patients from the delivery room, the unit at the beginning and peripheral hospitals. The stems are pediatrician (1), Resident Doctor (1) trainee doctor (1), nurses (10) and Wizards (3). There bedÿÿ five beds and two extra beds (Kangaroo, 3 infusion pumps, IV poles 6, a therapy machine, 5 heaters, 1 air, 2 tables, 5 cupboard, 1 ladder, 1 Fan, 6 screens, 1 2 trolleys and electrocardiograph.
data collection The result of the patient who was transferred to headquarters, could not be assessed. Most patients may soon not after leaving the intensive care unit and the parameters included in my study, the die may be affected by sample size. were based on age, a significant number of patients over five years, which are incorporated AICU omitted from my study, this may affect the size of the sample. errors and / or entry in the register incomplete, particularly in the NICU affected my study, some goals are not achieved because Incomplete data entered on the registers. NB; The total number of patients were in ICU for one year past 471, but during the analysis of the column “Total” and / or lines may change due to the lack of input in one or both exposure and outcome variables, as in the register of neonatal intensive care.
experienced premature birth, asphyxia birth, hypothermia, sepsis and congenital anomalies were the reasons for admission to the neonatal intensive care unit. Others included malaria, resuscitation, observation, hypoglycemia, the HIV = 4, low score etc etc.
The total duration of stay of patients was 1816.32 hours per year. The average length of stay of each patient independent of outcome (death, discharge or transfer general pediatric ward was 4.73 hours
a table with less than five years AICU July 2006 approved in June 2007, given the age and gender The average length of stay of each patient, regardless of the outcome (death, discharge or transfer to the general hospital was 60 hours. Nicu, were the majority of patients developed a need for services during the resuscitation stations mainly Labour Ward of this observation is the same for AICU patients are admitted, and the two units, the majority of the patients survived, regardless of the source reference.
AICU full and mortality was higher among male patients (46.6%) compared to female patients (44.1%). Most of the patients during the hours of the afternoon (32.5%) were added, while the mortality is higher in patients during the night hours (60.3% authorized). This result is the same study by MNH Isangula K in the majority of patients during the hours of the afternoon and the majority of patients were admitted admitted to conducting any death that night in mid APCU. This finding is also consistent with another study by Arias G, to determine Taylor and G Marchin if an association between the start date and the risk of death in pediatric patients is that in a cohort of children admitted to a Picus USA.They in the national sample found that children were taken to intensive care during the evening hours, a higher death rate than they had admitted during the day. But in their study, they found no correlation between mortality and the day of admission. Here can ensure they have an increased risk of death in patients admitted to the pediatric intensive care unit during the evening. Although in my study, I have no association between week and obtain approval for admission weekend and outcomes in children, but I did most of the patients were found in AICU during lunch hours and approved by the majority of patients who died was added to During the night (60.3%), this may be due to slightly during that time, the doctor on duty, may not be available. From this study showed that the effect of home patients may result be. However, additional studies are needed to establish the true relationship between the host and the result.
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