KMID : 1035620140020020128
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Allergy Asthma & Respiratory Disease 2014 Volume.2 No. 2 p.128 ~ p.133
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Readmission risk factors for children admitted to pediatric intensive care unit with respiratory tract disease
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Chung Won-Jin
Yoon Da-Hye Lee Eui-Gyung Bang Kyong-Won Kim Hwan-Su Chun Yoon-Hong Yoon Jong-Seo Kim Hyun-Hee Kim Jin-Tack Lee Joon-Sung
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Abstract
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Purpose: Children admitted to pediatric intensive care unit (PICU) with respiratory tract disease, often have a tendency to be readmitted to PICU with disease progression. We studied the risk factors for readmission to PICU, with respiratory disease progression.
Methods: Among 286 children admitted to Seoul St. Mary¡¯s Hospital PICU from April 2009 to March 2012, 129 children admitted with respiratory tract disease were enrolled. We grouped the children readmitted to PICU with respiratory tract disease progression within 2 weeks (readmission group), and the others (control group). We compared basic and respiratory tract disease characteristics at initial PICU admission between them, by retrospective chart review.
Results: Among 129 children, 8 were included in the readmission group, and 121 in the control group. Mortality and underlying disease incidence were higher in the readmission group (P=0.003 and P=0.033, respectively). The readmission group showed higher parenchymal lung disease incidence, and lower initial saturation by pulse oxymeter (SpO2)/fraction of inspiratory oxygen (FiO2), despite underlying disease influence (P=0.035 and P=0.041, respectively). Logistic regression on the underlying disease and respiratory variables showed no single factor with a significantly independent influence on readmission, but parenchymal lung disease had more independent influence.
Conclusion: For PICU readmission with respiratory tract disease progression, parenchymal lung disease and lower initial SpO2/FiO2 can be a risk factor despite underlying disease influence. Underlying disease and each respiratory characteristic were not significantly independent risk factors, suggesting a correlation of factors. But, parenchymal lung disease can be a more independent risk factor.
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KEYWORD
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Risk factors, Patient readmission, Respiratory tract disease, Pediatric intensive care unit
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