Publication:

A study of prevalence and outcome of shock in patients admitted to the pediatric intensive care unit at a tertiary care hospital

Background Shock is the most common condition in children admitted in PICU with high morbidity and mortality rate in children. The knowledge about the etiology and risk factors will give an early clue in identifying and prioritizing management of Shock and its outcome in children. To study the prevalence of shock in children admitted in PICU and identify the etiology and response to treatment and assess the PRISM score and compare it with the outcome in Children.

Methods Prospective Observational study in children admitted in PICU at a tertiary care hospital.

Results Out of 878 cases admitted in PICU, shock was observed in 43 children (4.9%). shock at the time of admission and duration of stay in the hospital were found in 26 (70.3%) and 11 (29.7%) respectively. M: F ratio was 1.1:1. Children in the age group of 30. The mortality rate was highest with septic shock 14 (71.4%) whereas all children with hypovolemic shock survived. Children presented with Compensated shock, decompensated shock and MODS in 14 (37.8%), 23 (62.2%) and 19 (51.4%) children respectively. The most common causes of mortality were MODS and decompensated shock.

Conclusions Early screening, identification and intervention are key to improve the outcome in children with shock.