TY - JOUR PY - 2006// TI - Predictors of Outcome in Children with Hydrocarbon Poisoning Receiving Intensive Care JO - Indian pediatrics A1 - Jayashree, M. A1 - Singhi, Sunit A1 - Gupta, A. SP - 715 EP - 719 VL - 43 IS - 8 N2 - The retrospective study included 48 children between 8.5 months - 10 years, admitted to the PICU of an urban, tertiary care, teaching hospital in northern India from January 1995 to December 2001. Eighteen (38%) patients were hypoxemic on arrival, of which 8 (45%) required mechanical ventilation. Compared to the non-hypoxemic children, the hypoxemic patients were more likely to have received gastric lavage before arrival to our center (Odds Ratio 23.2, 95% CI 2.4 - 560.7) and had higher frequency of severe respiratory distress and leucocytosis (Odds Ratio 8.0, 95% CI 1.79 -38.6). On multiple regression analysis, we could not identify any particular variable that could predict hypoxemia. Secondary pneumonia developed in 16 (33.3%), with the duration of PICU stay being longer in these patients as against those who did not (144 hours vs 72 hours, p <0.05). Two (4.2%) children died and one suffered hypoxic sequelae. Prior lavage, hypoxemia at admission, need for ventilation, secondary sepsis and ventilator related complications were associated with poor outcome.

Language: en

LA - en SN - 0019-6061 UR - http://dx.doi.org/ ID - ref1 ER -