International Journal of Clinical Pediatrics, ISSN 1927-1255 print, 1927-1263 online, Open Access |
Article copyright, the authors; Journal compilation copyright, Int J Clin Pediatr and Elmer Press Inc |
Journal website http://www.theijcp.org |
Original Article
Volume 3, Number 2, June 2014, pages 46-50
Clinical Profile and Outcome of Acute Respiratory Failure in Children: A Prospective Study in a Tertiary Care Hospital
Figure
Tables
Primary system involved/underlying disease | Number of cases |
---|---|
Respiratory system | |
Bronchopneumonia | 49 |
Asthma | 5 |
Bronchiolitis | 3 |
Aspiration pneumonia | 5 |
Aspiration of foreign body | 1 |
Pneumothorax | 1 |
SLE with lupus lung | 2 |
Laryngotracheobronchitis | 3 |
Pleural effusion | 1 |
Thalassemia major with lobar pneumonia | 1 |
Acute pancreatitis with lobar pneumonia | 1 |
Cardiovascular system | |
Myocarditis with pulmonary edema | 2 |
FTT with anemia with CCF | 1 |
VSD with pulmonary edema | 2 |
Central nervous system | |
Viral hepatitis with encephalopathy | 4 |
DKA with cerebral edema | 4 |
Meningitis | 2 |
Encephalitis | 3 |
Cerebral malaria | 2 |
Guillain-barre syndrome | 1 |
Head injury | 2 |
Status epilepticus | 8 |
Acute diarrhoeal disease with Severe dehydration with meningitis | 1 |
Others | |
Sepsis | 11 |
Feature | Outcome* | P-value | ||||
---|---|---|---|---|---|---|
No. of cases | Survived | % | Died | % | ||
*Outcome is excluding LAMA patients. | ||||||
Age | 0.10 | |||||
1 month - 1 year | 65 | 50 | 76.92 | 6 | 9.23 | |
1 year - 5 years | 23 | 16 | 69.57 | 1 | 4.35 | |
5 years - 10 years | 16 | 11 | 68.75 | 4 | 25.00 | |
> 10 years | 11 | 08 | 72.73 | 3 | 27.27 | |
Nutritional status | 0.05 | |||||
Normal | 73 | 70 | 95.89 | 1 | 1.37 | |
Grade I PEM | 06 | 04 | 66.67 | 1 | 16.67 | |
Grade II PEM | 07 | 03 | 42.86 | 1 | 14.29 | |
Grade III PEM | 10 | 03 | 30.00 | 3 | 30.00 | |
Grade IV PEM | 19 | 05 | 26.32 | 8 | 42.11 | |
Type of respiratory failure | 0.10 | |||||
Type 1 | 86 | 63 | 73.26 | 12 | 13.95 | |
Type 2 | 20 | 15 | 75.00 | 01 | 05.00 | |
Type 3 | 9 | 07 | 77.78 | 01 | 11.11 | |
Duration of ventilation | 0.05 | |||||
No ventilation | 76 | 68 | 89.47 | 2 | 2.63 | |
1 - 24 h | 7 | 0 | 00 | 6 | 85.77 | |
24 - 72 h | 15 | 07 | 46.67 | 3 | 20.00 | |
> 72 h | 17 | 10 | 58.82 | 3 | 17.65 | |
Inotropes | 0.01 | |||||
Yes | 32 | 15 | 46.88 | 9 | 28.13 | |
No | 83 | 70 | 84.33 | 5 | 06.02 |