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العنوان
Clinical characteristics and predictors of outcome in pediatric intensive care unit, at National Cancer Institute, Cairo university /
الناشر
Soltan Hassan Ibrahim ,
المؤلف
Soltan Hassan Ibrahim
هيئة الاعداد
باحث / Soltan Hassan Ibrahim
مشرف / Hany Abd-El Rahman Sayed
مشرف / Sayed Abd-El Hameed Fadel
مشرف / Hebat Allah Fadel Al-Gebaly
تاريخ النشر
2016
عدد الصفحات
103 P. :
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
علم الأورام
تاريخ الإجازة
24/8/2017
مكان الإجازة
جامعة القاهرة - كلية الطب - Pediatrics oncology
الفهرس
Only 14 pages are availabe for public view

from 117

from 117

Abstract

Background: Improvement in survival has been linked to more aggressive treatment regimens. However, these protocols are associated with increased life-threatening complications that may require pediatric intensive Care units (PICU) admission. Nearly 40% of pediatric cancer patients require intensive care services, accounting for approximately 3% of all PICU admissions. Aim of the work was to evaluate predictors of outcome in PICU at pediatric oncology department, National cancer institute (NCI), Cairo university, and its relation to clinical characteristics of patients from 1st July 2013 to 30th of June 2014. Patients and methods: This retrospective study included 217 Pediatric cancer patient (166 male and 101 female) aged from one month to 24 years, who were hospitalized 267 episodes. Results: regarding type of tumor revealed no significant difference (P value >0.05) between died and improved patients. However, there was high significant difference between died and improved patients regarding PRISM (P-value 0.003), and PLEOD, number of organ dysfunction, inotropes and mechanical ventilation (P-value <0.001) and mortality was 34.8%. Conclusions: The high mortality rate between patients with multi-organ involvement leads to great benefits of early admission to PICU of children in whose signs of multi- organ involvement starts to develop