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Epidemiological Aspects of Abdominal Pain in Children at the El Rapha Polyclinic in Libreville - Gabon

2017; OMICS Publishing Group; Volume: 02; Issue: 04 Linguagem: Inglês

10.4172/2572-0775.1000127

2572-0775

Kuissi Kamgaing E, Minto o Rogombe S, P Mowangue, M Njiomo, J Koko, S. Ategbo,

Nosocomial Infections in ICU

Objectives: We sought to evaluate the admission and hospital risk factors for death in children with diarrhea requiring mechanical ventilation (MV). Methods: This was a retrospective study. We enrolled children 0-59 months admitted with diarrhoea to the intensive care unit (ICU) of Dhaka Hospital of ICDDRB between August 2009 and July 2013 and required MV. To evaluate the risk factors for death in MV we compared the clinical and laboratory characteristics of the children requiring MV. We matched up to the clinical characteristics presented on admission and subsequently developed before MV during hospital stay with the survivors and deaths having MV. Results: Among 73 enrolled children, 58 (80%) died. Incidence of death in MV was higher among children having hyperkalaemia (p ≤ 0.001), hypoglycaemia (p ≤ 0.001) and metabolic acidosis (p=0.06) on admission and lower in children having tracheal isolates (p ≤ 0.001) during hospitalisation. After adjusting for covariates using multivariate robust Poisson regression, children with hyperkalaemia (IR=1.34 p=0.03; CI: 1.02-1.76) on admission was the only independent risk factor for death in MV. Conclusion: Children with hyperkalaemia on admission and subsequently requiring MV were more likely to die compared to those without hyperkalaemia.