Impact of pre-hospital care on the outcome of children arriving with agonal breathing to a pediatric emergency service in South India
Background: Data on the prehospital interventions received by critically ill children at arrival to Paediatric Emergency Services (PES) is limited in developing countries. This study aims to describe the pre-hospital care scenario, transport and their impact on outcome in non-traumatic, acutely ill...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2016-01-01
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| Series: | Journal of Family Medicine and Primary Care |
| Subjects: | |
| Online Access: | http://www.jfmpc.com/article.asp?issn=2249-4863;year=2016;volume=5;issue=3;spage=625;epage=630;aulast=Adhikari |
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| author | Debasis Das Adhikari Krishna Mahathi Urmi Ghosh Indira Agarwal Anila Chacko Ebor Jacob Kala Ebenezer |
| author_facet | Debasis Das Adhikari Krishna Mahathi Urmi Ghosh Indira Agarwal Anila Chacko Ebor Jacob Kala Ebenezer |
| author_sort | Debasis Das Adhikari |
| collection | DOAJ |
| description | Background: Data on the prehospital interventions received by critically ill children at arrival to Paediatric Emergency Services (PES) is limited in developing countries. This study aims to describe the pre-hospital care scenario, transport and their impact on outcome in non-traumatic, acutely ill children presenting in PES with agonal breathing. Methods: Prospective observational study done on children aged below 15 years arriving in PES with agonal breathing due to non-trauma related causes. Results: Out of 75 children studied, 69% were infants. The duration of illness among 65% of them (75) was less than 3 days. Majority of them (81%) had received treatment prior to arrival. Government sector physicians (72%), half of them (51%) being pediatricians were the major treating doctors. 37% of the children had arrived to the Emergency in an ambulance. Cardiopulmonary Resuscitation (CPR) was given to 27% on arrival in PES. Other interventions included fluid boluses to correct shock (92%) and inotrope infusion (56%). Sepsis (24%) and pneumonia (24%) were the most common diagnoses. Out of 75, 57 (76%) children who were stabilized and shifted to PICU and among them 27 (47%) survived to discharge. Normal blood pressure (p=0.0410) and non-requirement of CPR (0.0047) and inotropic infusion (0.0459) in PES were associated with a higher chance of survival. Conclusion: 36% (27/75) of children who arrived to our PES with agonal breathing survived to hospital discharge. Survival was significantly better among those who did not need CPR. |
| first_indexed | 2024-04-12T03:15:25Z |
| format | Article |
| id | doaj.art-67eb22cd02584757a8a830443d451cbf |
| institution | Directory Open Access Journal |
| issn | 2249-4863 |
| language | English |
| last_indexed | 2024-04-12T03:15:25Z |
| publishDate | 2016-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Family Medicine and Primary Care |
| spelling | doaj.art-67eb22cd02584757a8a830443d451cbf2022-12-22T03:50:09ZengWolters Kluwer Medknow PublicationsJournal of Family Medicine and Primary Care2249-48632016-01-015362563010.4103/2249-4863.197321Impact of pre-hospital care on the outcome of children arriving with agonal breathing to a pediatric emergency service in South IndiaDebasis Das AdhikariKrishna MahathiUrmi GhoshIndira AgarwalAnila ChackoEbor JacobKala EbenezerBackground: Data on the prehospital interventions received by critically ill children at arrival to Paediatric Emergency Services (PES) is limited in developing countries. This study aims to describe the pre-hospital care scenario, transport and their impact on outcome in non-traumatic, acutely ill children presenting in PES with agonal breathing. Methods: Prospective observational study done on children aged below 15 years arriving in PES with agonal breathing due to non-trauma related causes. Results: Out of 75 children studied, 69% were infants. The duration of illness among 65% of them (75) was less than 3 days. Majority of them (81%) had received treatment prior to arrival. Government sector physicians (72%), half of them (51%) being pediatricians were the major treating doctors. 37% of the children had arrived to the Emergency in an ambulance. Cardiopulmonary Resuscitation (CPR) was given to 27% on arrival in PES. Other interventions included fluid boluses to correct shock (92%) and inotrope infusion (56%). Sepsis (24%) and pneumonia (24%) were the most common diagnoses. Out of 75, 57 (76%) children who were stabilized and shifted to PICU and among them 27 (47%) survived to discharge. Normal blood pressure (p=0.0410) and non-requirement of CPR (0.0047) and inotropic infusion (0.0459) in PES were associated with a higher chance of survival. Conclusion: 36% (27/75) of children who arrived to our PES with agonal breathing survived to hospital discharge. Survival was significantly better among those who did not need CPR.http://www.jfmpc.com/article.asp?issn=2249-4863;year=2016;volume=5;issue=3;spage=625;epage=630;aulast=AdhikariAgonal breathingchildrenintubationpediatric emergency serviceresuscitation |
| spellingShingle | Debasis Das Adhikari Krishna Mahathi Urmi Ghosh Indira Agarwal Anila Chacko Ebor Jacob Kala Ebenezer Impact of pre-hospital care on the outcome of children arriving with agonal breathing to a pediatric emergency service in South India Journal of Family Medicine and Primary Care Agonal breathing children intubation pediatric emergency service resuscitation |
| title | Impact of pre-hospital care on the outcome of children arriving with agonal breathing to a pediatric emergency service in South India |
| title_full | Impact of pre-hospital care on the outcome of children arriving with agonal breathing to a pediatric emergency service in South India |
| title_fullStr | Impact of pre-hospital care on the outcome of children arriving with agonal breathing to a pediatric emergency service in South India |
| title_full_unstemmed | Impact of pre-hospital care on the outcome of children arriving with agonal breathing to a pediatric emergency service in South India |
| title_short | Impact of pre-hospital care on the outcome of children arriving with agonal breathing to a pediatric emergency service in South India |
| title_sort | impact of pre hospital care on the outcome of children arriving with agonal breathing to a pediatric emergency service in south india |
| topic | Agonal breathing children intubation pediatric emergency service resuscitation |
| url | http://www.jfmpc.com/article.asp?issn=2249-4863;year=2016;volume=5;issue=3;spage=625;epage=630;aulast=Adhikari |
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