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Analysis of outcomes of critically ill children mechanically ventilated in a Nigerian Intensive Care Unit (ICU)


O.O. Oyedepo
E. I. Oparanozie
A.A. Nasir
L.O. Abdur-Rahman

Abstract

Background: The number of critically ill paediatric patients requiring ICU admission with mechanical ventilation is increasing. The aim of the study was to evaluate the outcomes of critically ill paediatric patients requiring mechanical ventilation in an Intensive Care Unit (ICU).


Methodology: This was a prospective study of all critically ill paediatric patients managed in ICU during the study period. The   demographics, indications for admission, diagnosis, type of airway/ventilatory supports, ICU complications, and outcome were reviewed. 


Results: There were eighteen patients with mean age of 8.4±0.54 years. Five (27.8%) had traumatic brain injury and the indication for  admission was respiratory failure in 6(33.3%). The median(range) days spent on endotracheal intubation, mechanical ventilation and ICU  stay was 3(1-12), 3(1-6) and 8(1-14) respectively. Fourteen (77.8%) patients had a total of 30 complications. The ten patients (55.5%) who  died were mechanically ventilated while of the eight patients that survived, six (33.3%) and one (11.1%) patient each had mechanical ventilation, oxygen insufflation and endotracheal intubation only respectively. Mortality following complication was most significant for  pulmonary oedema 0(0%) (P=0.001).


Conclusion: The study shows a high rate of morbidity and mortality amongst ventilated paediatric  patients especially among those with traumatic brain injury