ABSTRACT 757: CLINICAL SPECTRUM AND OUTCOME OF PATIENTS ADMITTED AT THE PICU IN ALBANIA

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Background and aims: Significant increase in primary health care and the experienced staff of pediatrics with new diagnostic methods and protocols of treatment, provides high-level care for critically children. Has it change the profile and the outcome of admissions at Pediatric Intensive Care Unit (PICU).
Aims: To compare the profile and the outcome of admission in our PICU during two periods: January-December 2008 and January-December 2012.
Methods: This is a retrospective study. We analyzed the records of all admission during the two periods of the study and we compared the rate of admissions and of mortality rate by any pathology.
Results: We didn’t found significant differences between the rate of admissions for the two periods: 2008–2012 (596 vs 562 cases). We noticed an increased rate of respiratory failure during the second period (30.4% vs 19.6%), (χ=0.049, p=0.82), increased of surgical pathology (22.8% vs 15.2%), (χ=0.144, p=0.7), increased of infectious diseases (16.5% vs 9.2%) (χ=0.22, p=0.63), and reduction of poisonings (8% to 4.9%), (χ=0.90, p=0.34). Mortality rate was lower during the year 2012 vs 2008 (10.7% vs 12%), with reduction of mortality for surgical pathology (15% vs 23.6%) OR=0.57(95% CI 0.28–1.14 p=0.1 and respiratory failure (13.3% vs 18%) OR=0.67(95% CI 0.35–1.28)p=0.2, but a slight increase for the mortality in infectious disease (13.3% vs 11.1%) OR=1.18(95% CI 0.41–3.36) p=0.74. And for the neurological pathologies (16.7%vs14%).
Conclusions: Respiratory failure, surgical pathology and infectious diseases are increasing during these years. An extraordinary high-level provided in the multidisciplinary PICU has resulted to the reduction of mortality rate.

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