Nov 28, 2013

Intensive care unit admission in children with malignant or nonmalignant disease: incidence, outcome, and prognostic factors: a single-center experience

Journal of Pediatric Hematology/oncology
Maura FaraciRiccardo Haupt

Abstract

To investigate pediatric intensive care unit (PICU) admission in children with malignant and nonmalignant diseases who developed life-threatening complications. Between 1999 and 2010, of the 1278 eligible pediatric patients treated for a malignant or nonmalignant disease, 54 were admitted to the PICU for respiratory distress (40.7%), neurological events (33.3%), severe sepsis (14.8%), and organ failure (11.2%). Rate of PICU admission was 4.2%, with a 2-year cumulative incidence of 4.5%. Risk factors associated with higher cumulative incidence of PICU admission were older age at study entry (P=0.003), nonmalignant underlying disease (P=0.015), and hematopoietic stem cell transplantation (P<0.001). Patients with leukemia/lymphoma were more likely to be admitted to the PICU compared with patients with solid tumors (P<0.001). Patients admitted because of organ failure had the highest frequency of death within 90 days. Factors significantly associated with survival at 90 days from PICU admission included: no mechanical ventilation (P<0.001), nonmalignant underlying disease (P=0.030), and year of PICU admission after 2005 (P=0.038). Nonmalignant disease and use of alternative hematopoietic stem cell transplantation were associated wi...Continue Reading

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Citations

Mentioned in this Paper

Pediatric Intensive Care Unit
Tertiary Care Centers
Hospitals, Cancer
Respiratory Failure
Multiple Organ Failure
Malignant Paraganglionic Neoplasm
Solid Tumour
Single Organ Dysfunction
Outcomes Research
Ventilation, Function (Observable Entity)

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