IMPROVEMENT IN THE CLINICAL OUTCOME IN PEDIATRIC ICU OF TERTIARY HOSPITAL IN PAKISTAN

Objective: This research work carried out to evaluate the effects of clinical consequence of seriously ill children after and prior employment of child in Pediatric ICU (Intensive Care Unit). Methodology: This is retroactive audit of the children having age from one month to fourteen year of age who got admission in the Pediatric ICU during the twelve-month period in Jinnah Hospital Lahore. Child intensivist managed all the children in Cohort-1 whereas pediatrician manages patients in Cohort-2. The comparison of the patients carried out in the period of two twelve month durations. Results: In the duration of this research work, three hundred and fourteen patients got admission with an average age of 2 years in Cohort-1. The range of the age of patients was from one month to fourteen years, 37.0% patients were available with lower than one year of age, 66.0% children were from male gender, Average scores of PRISM were 13.20 (from 3 to 39) whereas in Cohort-2, Ninety-nine patients got admission with an average age of twenty-nine months & 60.0% patients in this cohort were males. We found the same clinical identification categories in two cohorts. We found significant disparities in both groups for rate of mortality (35.0% vs. 14.0%), total stay in hospital (7.50 days vs. 3.20 days) & amount of the total admissions (three hundred and fourteen verses ninety-nine patients). Conclusion: The collected information displayed that employment of skilled child intensivist for full time in tertiary care pediatric ICU has an association with the improvement in the outcome of seriously ill small age children. KEY WORDS: Pediatric ICU, Association, Improvement, Intensivist, Employment, PRISM, Cohort