Laue NML, López AMÁ, Risco CR, Esquivel LJI

Language: Spanish
References: 26
Page: 5-11
PDF size: 74.31 Kb.

ABSTRACT

Objective: To know the morbidity and mortality for multiple organ dysfunction in critically ill children. Design: prospective cohort. Setting: Pediatric intensive care unit, of a Medical Center, Mexico City. Patients: Seventy-one children with multiple organ system failure. Interventions: Patients were evaluated at admission, every 72 h and at discharge, with Wilkinson, PRISM and IITM scales. Measurements and main results: Average of organ failure, 3.5; incidence, 14%; mortality rate, 46%; group more affected, infants; average of SDOM duration, 6 days; ICU stay 11.5 ± 11 days, sepsis, 13 patients (rr = 1.5), relative risk of death was: 4 organ rr = 1.35,5 organ rr = 2.39, 6 organ rr = 2.27. The worst PRISM in survivors was 16 ± 8 and in nonsurvivors 32 ± 9, t = -7.566 and p ± 0.001. More frequently failures observed: cardiovascular, respiratory and renal. Best organic recuperation: gastrointestinal, hematologic and cardiovascular. Conclusions: SDOM has high mortality and it depends of the number of affected organs and the severity of disease.

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