Study on some progrostic factors of death in treatment of septic shock in children
- Author:
Thang Van Pham
- Publication Type:Journal Article
- Keywords:
Septic shock;
Mortality;
Prognosis
- MeSH:
Shock;
Septic/ diagnosis;
mortality;
Child
- From:Journal of Medical Research
2007;55(6):180-183
- CountryViet Nam
- Language:Vietnamese
-
Abstract:
Background: Septic shockis often seen in severe disease to be hospitalized at Intensive Care Unit. In America, there are about 400,000 infection cases in which 20% to 40% develop into septic sock. Objectives:This study aims to find out some prognostic factors of death in treatment of septic shock in children. Subjects and method:A prospective and descriptive study was conducted on 67 patients suffering from septic shock based on \u201cThe 2002 American College of Critical Care Medicine/Society of Critical Care Medicine \ufffd?combined with standard of 1993 National conference on Intensive care whom admitted Intensive care unit of National Hospital of Pediatrics (N.H.P) Results:The severity of shock affecting mortality rate [OR=33.0; 95% CI (6.6 - 163.0), P < 0.001]. The delay of shock diagnosis significantly affected the results of treatment and mortality rate [OR= 52.0; 95% CI (5.8 - 446.0); p < 0.001]. The severity of acidosis has affected on results of treatment and mortality rate [OR= 4.00; p<0.05]. The blood lactate of > 5.5 mmol/l indicated a bad prognosis and high mortality risk; Se 79%, Sp 52%, AUC 0.75%. The lactate level affected the mortality rate [OR = 10.0; 95% CI (1.9 - 62.0); p < 0.05]. Conclusion: The factors effected to the treatment results and mortality risk consisted of severe sock level, late diagnosis, infected severe high lactate concentration.
