TY - JOUR
T1 - Predictores del estado de salud funcional posingreso en cuidados intensivos en pacientes sépticos
AU - Conejo, Mireia Mor
AU - González, Aitor López
AU - Gargallo, Mònica Balaguer
AU - Bobillo-Pérez, Sara
AU - Lasaosa, Francisco José Cambra
AU - García, Iolanda Jordán
N1 - Publisher Copyright:
© 2024, Editorial Ciencias Medicas. All rights reserved.
PY - 2024/2/23
Y1 - 2024/2/23
N2 - Introduction: Critically ill pediatric patients are susceptible to cerebral blood flow alterations that imply a deterioration of their functional health status. Objective: To identify predictors of a higher risk of poor functional outcome in critically ill pediatric patients with sepsis. Methods: A retrospective cohort study was conducted with children under 18 years of age with sepsis, who were admitted to the pediatric intensive care unit. Epidemiological, clinical, and functional health status variables were collected prior to admission, discharge, and after 6 months. Functional health status was assessed using the Pediatric Global State and Brain Status Category Scale. The change in performance status between admission and 6 months after discharge was assessed. A univariate analysis was performed to compare groups considering poor prognosis and change in functional status and their relationship with the variables. Results: A total of 46 patients were included. At 6 months after discharge, four (8.7%) had a poor functional prognosis and eight (17.4%) had functional worsening at admission. No associations were found between the predictor variables and morbidity, although some trends were observed in some variables, such as greater inotropic support (SIV > 20: 12.5% vs. 50%, p = 0.075), extracorporeal and renal replacement (25% vs. 2.6%, p = 0.074), and longer hospital stay (50% vs. 15.8%, p = 0.055). Conclusions: Support in the pediatric intensive care unit was not a predictor of functional morbidity in the sample.
AB - Introduction: Critically ill pediatric patients are susceptible to cerebral blood flow alterations that imply a deterioration of their functional health status. Objective: To identify predictors of a higher risk of poor functional outcome in critically ill pediatric patients with sepsis. Methods: A retrospective cohort study was conducted with children under 18 years of age with sepsis, who were admitted to the pediatric intensive care unit. Epidemiological, clinical, and functional health status variables were collected prior to admission, discharge, and after 6 months. Functional health status was assessed using the Pediatric Global State and Brain Status Category Scale. The change in performance status between admission and 6 months after discharge was assessed. A univariate analysis was performed to compare groups considering poor prognosis and change in functional status and their relationship with the variables. Results: A total of 46 patients were included. At 6 months after discharge, four (8.7%) had a poor functional prognosis and eight (17.4%) had functional worsening at admission. No associations were found between the predictor variables and morbidity, although some trends were observed in some variables, such as greater inotropic support (SIV > 20: 12.5% vs. 50%, p = 0.075), extracorporeal and renal replacement (25% vs. 2.6%, p = 0.074), and longer hospital stay (50% vs. 15.8%, p = 0.055). Conclusions: Support in the pediatric intensive care unit was not a predictor of functional morbidity in the sample.
KW - function status
KW - intensive care
KW - pediatrics
KW - sepsis
UR - http://www.scopus.com/inward/record.url?scp=85185915522&partnerID=8YFLogxK
M3 - Artículo
AN - SCOPUS:85185915522
SN - 0034-7531
VL - 96
JO - Revista Cubana de Pediatria
JF - Revista Cubana de Pediatria
M1 - e2536
ER -