Anemia at pediatric intensive care unit discharge: prevalence and risk markers
Abstract Background Anemia is prevalent at pediatric intensive care unit (PICU) admission and incident during PICU stay, but little is known about anemia at PICU discharge . Anemia after critical illness is an important issue because it could impact post-PICU outcome. We aimed to estimate the preval...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
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SpringerOpen
2017-10-01
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| Series: | Annals of Intensive Care |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s13613-017-0328-8 |
| _version_ | 1818977006006566912 |
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| author | Pierre Demaret Oliver Karam Marisa Tucci Jacques Lacroix Hélène Behal Alain Duhamel Frédéric Lebrun André Mulder Stéphane Leteurtre |
| author_facet | Pierre Demaret Oliver Karam Marisa Tucci Jacques Lacroix Hélène Behal Alain Duhamel Frédéric Lebrun André Mulder Stéphane Leteurtre |
| author_sort | Pierre Demaret |
| collection | DOAJ |
| description | Abstract Background Anemia is prevalent at pediatric intensive care unit (PICU) admission and incident during PICU stay, but little is known about anemia at PICU discharge . Anemia after critical illness is an important issue because it could impact post-PICU outcome. We aimed to estimate the prevalence of anemia at PICU discharge and to determine its risk markers. Methods This is an ancillary study of a prospective observational study on transfusion practices conducted in the PICU of a tertiary care children’s hospital. All children consecutively admitted to the PICU during a 1-year period were considered for inclusion. Data were prospectively collected from medical charts, except for hemoglobin (Hb) levels at PICU and hospital discharge that were collected retrospectively. Anemia was defined by an Hb concentration below the lower limit of the normal range for age. Results Among the 679 children retained for analysis, 390 (57.4%) were anemic at PICU discharge. After multivariate adjustment, anemia at PICU admission was the strongest risk marker of anemia at PICU discharge. The strength of this association varied according to age (interaction): The odds ratio (OR) (95% CI) of anemia at PICU discharge was 4.85 (1.67–14.11) for 1–5-month-old infants anemic versus not anemic at PICU admission, and it was 73.13 (13.43, 398.19) for adolescents anemic versus not anemic at PICU admission. Children admitted after a non-cardiac surgery had an increased risk of anemia at PICU discharge [OR 2.30 (1.37, 3.88), p = 0.002]. The proportion of anemic children differed between age categories, while the median Hb level did not exhibit significant variations according to age. Conclusions Anemia is highly prevalent at PICU discharge and is strongly predicted by anemia at PICU admission. The usual age-based definitions of anemia may not be relevant for critically ill children. The consequences of anemia at PICU discharge are unknown and deserve further scrutiny. |
| first_indexed | 2024-12-20T16:20:52Z |
| format | Article |
| id | doaj.art-c57387b1be674cda9c0335446c4c9eee |
| institution | Directory Open Access Journal |
| issn | 2110-5820 |
| language | English |
| last_indexed | 2024-12-20T16:20:52Z |
| publishDate | 2017-10-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | Annals of Intensive Care |
| spelling | doaj.art-c57387b1be674cda9c0335446c4c9eee2022-12-21T19:33:37ZengSpringerOpenAnnals of Intensive Care2110-58202017-10-017111010.1186/s13613-017-0328-8Anemia at pediatric intensive care unit discharge: prevalence and risk markersPierre Demaret0Oliver Karam1Marisa Tucci2Jacques Lacroix3Hélène Behal4Alain Duhamel5Frédéric Lebrun6André Mulder7Stéphane Leteurtre8Pediatric Intensive Care Unit, Department of Pediatrics, CHCPediatric Critical Care Unit, Geneva University HospitalDivision of Pediatric Critical Care Medicine, Department of Pediatrics, Sainte-Justine Hospital, Université de MontréalDivision of Pediatric Critical Care Medicine, Department of Pediatrics, Sainte-Justine Hospital, Université de MontréalUniversité de Lille, EA 2694 - Santé Publique: épidémiologie et qualité des soins, Unité de BiostatistiqueUniversité de Lille, EA 2694 - Santé Publique: épidémiologie et qualité des soins, Unité de BiostatistiquePediatric Intensive Care Unit, Department of Pediatrics, CHCPediatric Intensive Care Unit, Department of Pediatrics, CHCUniversité de Lille, EA 2694 - Santé Publique: épidémiologie et qualité des soinsAbstract Background Anemia is prevalent at pediatric intensive care unit (PICU) admission and incident during PICU stay, but little is known about anemia at PICU discharge . Anemia after critical illness is an important issue because it could impact post-PICU outcome. We aimed to estimate the prevalence of anemia at PICU discharge and to determine its risk markers. Methods This is an ancillary study of a prospective observational study on transfusion practices conducted in the PICU of a tertiary care children’s hospital. All children consecutively admitted to the PICU during a 1-year period were considered for inclusion. Data were prospectively collected from medical charts, except for hemoglobin (Hb) levels at PICU and hospital discharge that were collected retrospectively. Anemia was defined by an Hb concentration below the lower limit of the normal range for age. Results Among the 679 children retained for analysis, 390 (57.4%) were anemic at PICU discharge. After multivariate adjustment, anemia at PICU admission was the strongest risk marker of anemia at PICU discharge. The strength of this association varied according to age (interaction): The odds ratio (OR) (95% CI) of anemia at PICU discharge was 4.85 (1.67–14.11) for 1–5-month-old infants anemic versus not anemic at PICU admission, and it was 73.13 (13.43, 398.19) for adolescents anemic versus not anemic at PICU admission. Children admitted after a non-cardiac surgery had an increased risk of anemia at PICU discharge [OR 2.30 (1.37, 3.88), p = 0.002]. The proportion of anemic children differed between age categories, while the median Hb level did not exhibit significant variations according to age. Conclusions Anemia is highly prevalent at PICU discharge and is strongly predicted by anemia at PICU admission. The usual age-based definitions of anemia may not be relevant for critically ill children. The consequences of anemia at PICU discharge are unknown and deserve further scrutiny.http://link.springer.com/article/10.1186/s13613-017-0328-8ChildAnemiaErythrocytePediatric intensive care unitPediatricOutcome |
| spellingShingle | Pierre Demaret Oliver Karam Marisa Tucci Jacques Lacroix Hélène Behal Alain Duhamel Frédéric Lebrun André Mulder Stéphane Leteurtre Anemia at pediatric intensive care unit discharge: prevalence and risk markers Annals of Intensive Care Child Anemia Erythrocyte Pediatric intensive care unit Pediatric Outcome |
| title | Anemia at pediatric intensive care unit discharge: prevalence and risk markers |
| title_full | Anemia at pediatric intensive care unit discharge: prevalence and risk markers |
| title_fullStr | Anemia at pediatric intensive care unit discharge: prevalence and risk markers |
| title_full_unstemmed | Anemia at pediatric intensive care unit discharge: prevalence and risk markers |
| title_short | Anemia at pediatric intensive care unit discharge: prevalence and risk markers |
| title_sort | anemia at pediatric intensive care unit discharge prevalence and risk markers |
| topic | Child Anemia Erythrocyte Pediatric intensive care unit Pediatric Outcome |
| url | http://link.springer.com/article/10.1186/s13613-017-0328-8 |
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