Start Submission Become a Reviewer

Reading: Outcome of children transported for pediatric intensive care to a tertiary care setting in S...

Download

A- A+
Alt. Display

Original Articles

Outcome of children transported for pediatric intensive care to a tertiary care setting in Sri Lanka

Authors:

Deshan Adhihetty ,

Lady Ridgeway Hospital For Children Colombo, LK
About Deshan
Senior Registrar In Paediatric Intensive Care Lady Ridgeway Hospital for Children, Colombo
X close

Nalin C Kitulwatte,

Medical Intensive Care Unit, Lady Ridgeway Hospital for Children, Colombo, LK
About Nalin
Consultant Paediatric Intensivist,Medical Intensive Care Unit, Lady Ridgeway Hospital for Children, Colombo 
X close

K L W Hathagoda,

Medical Intensive Care Unit, Lady Ridgeway Hospital for Children, Colombo, LK
About K L W
Medical Officer,Medical Intensive Care Unit, Lady Ridgeway Hospital for Children, Colombo 
X close

C T Weeraratne,

Medical Intensive Care Unit, Lady Ridgeway Hospital for Children, Colombo, LK
About C T
Medical Officer,Medical Intensive Care Unit, Lady Ridgeway Hospital for Children, Colombo 
X close

Srilal de Silva,

Medical Intensive Care Unit, Lady Ridgeway Hospital for Children, Colombo, LK
About Srilal
Consultant Paediatrician, Medical Intensive Care Unit, Lady Ridgeway Hospital for Children, Colombo, 
X close

E P D S Ediriweera

University of Kelaniya, LK
About E P D S
Lecturer, Faculty of Medicine, University of Kelaniya 
X close

Abstract

Introduction: Patient transport remains a necessary facet of today’s health care environment and transport conditions bear a major impact on the outcome. There is a recent move in Sri Lanka to establish retrieval teams. Thus, identifying problems faced by the present system will be of utmost importance in development of transport teams. 

Objective: To evaluate the present system of transportation of sick children to the Medical Intensive Care Unit (MICU), Lady Ridgeway Hospital for Children (LRH), Colombo.

Method: A prospective, descriptive, observational study of transferred patients was conducted at the MICU LRH, Colombo. All children admitted to MICU from 1st March 2014 to 1st June 2014 were included in the study. Data was collected using a self-administered questionnaire. The Wilcoxon significant rank test and the Chi squared test were utilized in statistical analysis.

Results: There were 200 patients comprising 105 (52.5%) out-of-hospital transfers and 95 (47.5%) in-hospital transfers. Of the admissions, 72% were live discharges while 28% expired; 42.5% of transfers were from the Colombo district. Pneumonia was the commonest diagnosis, occurring in 38.5%. The pre-transfer Paediatric Risk Mortality (PRISM) scores had a median of 12, mean of 13.7±7.8 and Q1-8 to Q3-18. The 12 hour PRISM scores, after excluding patients with PRISM scores of less than 5, showed a median of 14, mean of 18.5±11.7 and a ‘p’ value 0.0002. There was no outcome difference between in-hospital vs out-of-hospital transfers based on the Chi squared test. A written summary was available only in 61 (30.5%) patients. 

Conclusion: A rise in the PRISM score after transfer indicates that the patients had deteriorated during the transfer and transfer conditions need to be improved.

(Key words: Paediatric transport, PRISM score)

DOI: http://dx.doi.org/10.4038/sljch.v45i2.7998

How to Cite: Adhihetty, D., Kitulwatte, N.C., Hathagoda, K.L.W., Weeraratne, C.T., de Silva, S. and Ediriweera, E.P.D.S., 2016. Outcome of children transported for pediatric intensive care to a tertiary care setting in Sri Lanka. Sri Lanka Journal of Child Health, 45(2), pp.103–106. DOI: http://doi.org/10.4038/sljch.v45i2.7998
Published on 06 Jun 2016.
Peer Reviewed

Downloads

  • PDF (EN)

    comments powered by Disqus