[ XXXX admissions in a paediatric intensive care unit].

@entity1 @entity1457 @entity881 @entity4125 @entity693 @entity5642 @entity772 @entity7135
INTRODUCTION: @entity7135 has a high mortality and morbidity in @entity1 . Aggressive @entity1457 , early referral, secondary transport and vaccination are potential factors with impact in reducing its mortality. Objectives were to characterize @entity1 admitted to intensive care due to @entity7135 , to evaluate their prognostic scores and mortality. MATERIAL AND METHODS: Observational study, with retrospective data collection. Two periods were created according to the year of admission (A: 2000-2005 and B: 2006-2011). Prognostic parameters, organ failure and mortality rates were compared in these groups. RESULTS: 70 @entity1 were admitted with @entity7135 . When compared with other causes of admission, a decrease in the number of admissions due to @entity7135 was observed (period A: 3.4%; period B: 1.5%; p = 0.001). The presence of @entity693 was 41% in period A and 29% in period B (p = 0.461). Rapidly progressive @entity4125 occurred in 78% in period A and 50% in period B (p = 0.032). @entity1 from period A had @entity881 (80%), disseminated @entity5642 (76%) and @entity772 (22%) more frequently than @entity1 from period B (29%, 29%, 0%; p < 0.05). Mortality was 26% in period A and 0% in period B (p = 0.006) and standardized mortality by PRISM was 1.3 and 0 in period A and B respectively. DISCUSSION: The decrease in the number of admissions due to @entity7135 can be explained by the introduction of anti-meningococcal C vaccine in 2006. Mortality decline can be possibly explained by an improvement in the initial @entity1 stabilization and to secondary transport. CONCLUSION: A decrease in the number of admissions due to @entity7135 and in mortality was observed.
