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Intensive Care Med. 2004 May;30(5):918-25. Epub 2004 Mar 17.

What is the daily practice of mechanical ventilation in pediatric intensive care units? A multicenter study.

Author information

1
Unidad de Cuidados Intensivos Pediátricos, Hospital de Niños R Gutiérrez, B de Irigoyen 49, 1834 Temperley, Buenos Aires, Argentina. jufarias@intramed.net.ar

Abstract

OBJECTIVE:

To describe the daily practice of mechanical ventilation (MV), and secondarily, its outcome in pediatric intensive care units (PICUs).

DESIGN:

Prospective cohort of infants and children who received MV for at least 12 h.

SETTING:

Thirty-six medical surgical PICUs.

PATIENTS:

All consecutive patients admitted to the PICUs during 2-month period.

MEASUREMENTS AND MAIN RESULTS:

Of the 1893 patients admitted, 659 (35%) received MV for a median time of 4 days (25th percentile, 75%: 2, 6). Median of age was 13 months (25th percentile, 75%: 5, 48). Common indications for MV were acute respiratory failure (ARF) in 72% of the patients, altered mental status in 14% of the patients, and ARF on chronic pulmonary disease in 10% of the patients. Median length of stay in the PICUs was 8 days (25th percentile, 75%: 5, 13). Overall mortality rate in the PICUs was 15% (confidence interval 95%: 13-18) for the entire population, 50% (95% CI: 25-74) in patients who received MV because of acute respiratory distress syndrome, 24% (95% CI: 16-35) in patients who received MV for altered mental status and 16% (95% CI: 9-29) in patients who received MV for ARF on chronic pulmonary disease.

CONCLUSION:

One in every 3 patients admitted to the PICUs requires ventilatory support. The ARF was the most common reason for MV, and survival of unselected infants and children receiving MV for more than 12 h was 85%.

PMID:
15029473
DOI:
10.1007/s00134-004-2225-5
[Indexed for MEDLINE]

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