2020, Number 2
<< Back Next >>
Mul Med 2020; 24 (2)
Morbidity and hospital indicators in the Bayamo Pediatric Intensive Care Unit, 2008-2018
Morales TG, Camejo SYÁ, Elías GJA, Domínguez FJJ, Tamayo VJ
Language: Spanish
References: 11
Page: 338-351
PDF size: 545.60 Kb.
ABSTRACT
Introduction: pediatric intensive therapies are essential in hospital operation, since the care of the critical child is one of their priority objectives.
Objective: to characterize morbidity and the main quality indicators, established by the Ministry of Public Health (MISAP), for 11 years (2008-2018).
Method: a retrospective, epidemiological descriptive study was carried out in the PICU Bayamo, with patients admitted from 2008-2017, to study the behavior of hospital indicators (direct admissions, net and gross mortality, general and ventilated survival, average stay, indices occupational and infection rate associated with health care) and morbidity (income, expenses, evaluation of income according to age groups, reason for admission, type and nutritional status).
Results: of the admissions: 64.2% were direct, of them 63.6% came from the guardhouse and from the in-hospital 49.3% were from gastro; 50.1% under one year of age, 18.2% malnourished, 14.2% surgical, in 61.3% due to infectious causes. Among the indicators: net mortality rate (2.7%) and gross (3.4%), average length of stay (5.6), occupational index (77.7%) and rate of infections associated with health care (5.3). Overall survival (96.5%), ventilated survival (86.1%) and in children under one year of age of 96.8% and 85.0%, respectively.
Conclusions: hospital indicators are met with a high overall survival and in the ventilated patient; there is an adequate use of the beds and within the income the minors of one year, the infectious causes and those coming from the body of the guard predominated.
REFERENCES
Castro Pacheco BL. Evolución de la mortalidad infantil en Cuba. Rev Cubana Pediatr [Internet]. 2016 [citado 23/4/2020]; 88(1). Disponible en: http://www.revpediatria.sld.cu/index.php/ped/article/view/38/20
Elorza Parra M, Escobar González AF, Cornejo Ochoa W, Quevedo Vélez A. Morbilidad y mortalidad en la unidad de cuidados intensivos pediátricos del Hospital Universitario San Vicente de Paúl (HUSVP), de Medellín, Colombia, 2001-2005. Iatreia. 2008; 21(Suppl 1): s18-s19.
Álvarez Andrade ME, Esquivel Lauzurique M, Rubén Quesada M. Factores Pronósticos de muerte en niños ingresados en cuidados intensivos portadores de desnutrición aguda. Rev Haban Cienc Méd. 2015; 14(5): 573-86.
Pérez Santana Y, Clemades Méndez AM, Mederos Cabana Y, Navarro Ruíz M, Arbelo Hernández I, Molina Hernández O. Sepsis neonatal grave en una unidad de cuidados intensivos. Rev Cubana Pediatr. 2015; 87(1): 50-60.
Porras Suarez TG, Wong Silva J, Villalón Blanco E, Llabona Chavez VH. Morbi-mortalidad en la unidad de cuidados intensivos del Hospital Pediátrico Provincial Docente Pepe Portilla. Rev. Universidad Médica Pinareña. 2017; 12(2): 117-27.
Sarduy Lugo M, Collado Cabañin LE, Vázquez Izada B. Cincuenta años del intensivismo pediátrico en Cuba. Rev Cubana Med Intens Emergenc. 2018; 17(4): 1-3.
Botero González PA, Arango Posada CA, Castaño DM, Castaño Castrillón JJ, Díaz Guerrero SL, González Muñoz L, et al. Morbimortalidad en la unidad de cuidados intensivos pediátricos del hospital infantil universitario de Manizales durante los años 2006 y 2007. Rev. Fac. Med. 2010; 58(1): 3-14.
Ruiz C, Díaz MA, Zapata JM, Bravo S, Panay S, Escobar C, et al. Características y evolución de los pacientes que ingresan a una Unidad de Cuidados Intensivos de un hospital público. Rev. Méd. Chile. 2016; 144(10): 1297-1304.
Jiménez Bodib JR, Ferrer Machín M, Fernández Romo F. Morbimortalidad en la unidad de cuidados intensivos pediátricos: año 2006. Mediciego [Internet]. 2007 [citado 19/1/2019]; 13(supl 2). Disponible en: http://bvs.sld.cu/revistas/mciego/vol13_supl2_07/articulos/a11_v13_supl207.htm
Verdecia Cañizares C. Cáncer pediátrico en Cuba. Rev Cubana Pediatr. 2017; 89(1): 1-3.
Evans JM, Dayal P, Hallam DL, Natale JE, Kodali P, Sauers-Ford HS, Marcin JP. Illness Severity of Children Admitted to the PICU From Referring Emergency Departments. Hospital Pediatrics. 2018; 8(7): 404-9.