PARTIAL PRESSURE OF OXYGEN LEVEL ON ADMISSION AND MORTALITY IN BRONCHOPNEUMONIA CHILDREN ADMITTED TO PEDIATRIC INTENSIVE CARE UNIT
Kadek Swarita,Dwi Putri Lestari,Arina Setyaningtyas,Neurinda Permata Kusumastuti,Ira Dharmawati,Abdul Latief Azis
Department of Child Health Faculty of Medicine Universitas Airlangga Dr Soetomo Hospital Surabaya Indonesia
Background : Bronchopneumonia is common in children and known as cause of morbidity and mortality among children in developing countries. The partial pressure of oxygen (PaO2) level on admission may influence the outcome, but there is no data of PaO2 level on admission in bronchopneumonia children related to mortality. The aim of this study was to investigate PaO2 level on admission and the mortality in bronchopneumonia children admitted to Pediatric Intensive Care Unit (PICU).
Material : A retrospective study was performed in all bronchopneumonia children admitted to PICU Dr. Soetomo Hospital from January to December 2017. PaO2 level were taken before oxygen supplementation in emergency department. Data were collected from medical record. Statistical analysis was performed using Chi-square test.
Results : A total of 104 children were included in this study, consists of 57 (54.8%) male, mean age 17.7 (SD 2.64) months and 37 (35.6%) died in PICU. PaO2 level on admission was significantly higher in survivor compared to non-survivor (159.1 (SD 11.42) vs 54.7 (SD 5.18) mmHg, P<0.001). Fifty-six (53.8%) children were using ventilator with mean PaO2 level on admission (98.3 (SD 12.85) mmHg). Twenty-nine of them (51.8%) were died (P<0.001). Mortality in ventilated patient with high mean PaO2 level (158.9 (SD 21.05) mmHg) on admission was lower compare with the low mean PaO2 level (41.9 (SD 2.78) mmHg) (P<0.001).
Conclusions : Bronchopneumonia children with higher mean PaO2 level on admission have lower mortality.
Keywords: Bronchopneumonia children PaO2 level on admission mortality
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