Abstract

The aim of this prospective follow-up study wasto determine the incidence and risk factors of iatrogenic illness and the outcome among cases admitted to the paediatric intensive care unit in ateaching hospital in Libya. The incidence of iatrogenic complications was 22.9% among 423 cases admitted over a 1-year period. Human error (18.4%) followed by machine defects (4.5%) were the most common causes of complications. The overall mortality rate was 7.6% and was significantly higher in iatrogenic cases than others (13.4% versus 5.8%). Paediatric risk of mortality (PRISM) score was a good predictor of risk of iatrogenic illness. Both mortality and occurrence of iatrogenic illness were significantly associated with: higher PRISM score, use of mechanical ventilation, higher bed occupancy rate in the unit, presence of respiratory and neurological diseases, prolonged duration of stay in the intensive care unit and younger age of the child.

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Authors

Ismail AM, Shedeed SA

Institution

Department of Community, Environmental and Occupational Medicine, Faculty of Medicine, University o fBenho, Benho, Egypt.

Source

Eastern Mediterranean health journal = La revue de santé de la Méditerranée orientale = al-Majallah al-ṣiḥḥīyah li-sharq al-mutawassiṭ 18:2 2012 Feb pg 143-50

MeSH

Age Distribution
Bed Occupancy
Child
Child, Preschool
Cross Infection
Equipment Failure
Female
Follow-Up Studies
Humans
Iatrogenic Disease
Incidence
Infant
Intensive Care Units, Pediatric
Length of Stay
Libya
Male
Medical Errors
Outcome Assessment (Health Care)
Risk Factors
Severity of Illness Index

Pub Type(s)

Journal Article

Language

eng

PubMed ID

22571091