CHARACTERISTIC OF MECHANICALLY VENTILATED CHILDREN IN PEDIATRIC INTENSIVE CARE UNIT (PICU)
DOI:
https://doi.org/10.31004/prepotif.v9i1.38513Keywords:
PICU, Mechanical Ventilator, Critically Ill, ChildrenAbstract
Ventilator Mekanik (VM) merupakan alat bantu kehidupan yang dapat membantu pasien untuk bernapas dengan menjaga oksigen yang adekuat dan ventilasi yang cukup sampai dengan penyakit yang mendasari terselesaikan. Oleh karena itu, data tentang admisi dan perawatan anak-anak pengguna Ventilator Mekanik dengan penyakit kritis di Ruang Perawatan Intensif Anak (PICU) terutama di negara berkembang sangat penting. Namun, informasi dan data mengenai admisi dan penggunaan VM di Ruang Perawatan Intensif Anak susah untuk dicari dan ditemukan. Hal ini menyebabkan kesulitan untuk meningkatkan pelayan perawatan dan hasil akhir luaran pasien. Penelitian ini bertujuan untuk mengetahui karakteristik admisi dan perawatan pasien anak dengan penggunaan VM di Ruang Perawatan Intensif Anak di RSUD Dr. Soetomo Surabaya, sehingga diharapkan hasil dari penelitian dapat digunakan untuk meningkatkan pelayanan perawatan pasien anak di Ruang Perawatan Intensif Anak di Seluruh Indonesia khususnya di Surabaya. Penelitian ini menggunakan metode penelitian deskriptif retrospektif. Dari pengumpulan data, ditemukan sebanyak 111 pasien memenuhi kriteria inklusi. Mayoritas pasien yang dirawat di Ruang Perawatan Intensif Anak adalah pasien bayi sebanyak 55 pasien (49.55%), dengan pasien laki-laki sebanyak 64 pasien (57.66%) dan dengan status nutrisi kurang sebanyak 35 pasien (53.84%). Mayoritas pasien dirawat di Ruang Perawatan Intensif Anak karena masalah sistem pernapasan sebanyak 46 pasien (41.44%).References
Aina, Q., Setyaningtyas, A., & Atika, A. (2020). Clinical Profile and Outcome of Mechanically Ventilated Children in a Pediatric Intensive Care Unit Surabaya. Biomolecular and Health Science Journal, 3(2), 91. https://doi.org/10.20473/bhsj.v3i2.22143
Almossawi, O., O’Brien, S., Parslow, R., Nadel, S., & Palla, L. (2021). A study of sex difference in infant mortality in UK pediatric intensive care admissions over an 11-year period. Scientific Reports, 11(1). https://doi.org/10.1038/s41598-021-01173-x
Anitha, G., Lakshmi, S., Shanthi, S., Darlington, C., & Vinoth, S. (2016). Clinical profile of children mechanically ventilated in a pediatric intensive care unit of a limited resource setting. International Journal of Contemporary Pediatrics, 542–545. https://doi.org/10.18203/2349-3291.ijcp20161034
Bacha, T., Tsegaye, N., & Tuli, W. (2021). Mechanically Ventilated Pediatric Patients… Tigist B. et al 915 Characteristics and Outcomes of Mechanically Ventilated Pediatric Patients in A Tertiary Referral Hospital, Addis Ababa, Ethiopia: Cross Sectional Study. J Health Sci, 31(5), 915. https://doi.org/10.4314/ejhs.v31i5
Bastola, R., Shrestha, S. K., Sigdel, B., Poudel, D., Ghimire, S., Ghimire, A., Khadka, K. B., & Basnet, A. (2023). Demographic Profile and Outcome of Pediatric Intensive Care Unit. Journal of Nepal Health Research Council, 21(2), 214–218. https://doi.org/10.33314/jnhrc.v21i02.4495
Bechard, L. J., Duggan, C., Touger-Decker, R., Parrott, J. S., Rothpletz-Puglia, P., Byham-Gray, L., Heyland, D., & Mehta, N. M. (2016). Nutritional status based on body mass index is associated with morbidity and mortality in mechanically ventilated critically ill children in the PICU. Critical Care Medicine, 44(8), 1530–1537. https://doi.org/10.1097/CCM.0000000000001713
Burns, J. P., Sellers, D. E., Meyer, E. C., Lewis-Newby, M., & Truog, R. D. (2014). Epidemiology of Death in the Pediatric Intensive Care Unit at Five U.S. Teaching Hospitals. Crit Care Med, 42(9), 2101–2108. https://doi.org/10.1097/CCM.0000000000000498
Danisa Hasmuddin, A., Seniwati, T., & Iswanti Afelya, T. (2022). Children Mortality in Pediatric Intensive Care Unit (PICU): An Overview. In JKPBK (Vol. 5, Issue 1). http://e-journals.unmul.ac.id/index.php/JKPBK
Durak, C., & Boydag Guvenc, K. (2023). Clinical characteristics of mechanically ventilated children in pediatric intensive care unit: A single-center study. Northern Clinics of Istanbul, 10(5), 597–601. https://doi.org/10.14744/NCI.2023.90767
Gwela, A., Mupere, E., Berkley, J. A., & Lancioni, C. (2019). Undernutrition, Host Immunity and Vulnerability to Infection among Young Children. In Pediatric Infectious Disease Journal (Vol. 38, Issue 8, pp. E175–E177). Lippincott Williams and Wilkins. https://doi.org/10.1097/INF.0000000000002363
Hickey, S. M., & Giwa, A. O. (2023). Mechanical Ventilation. StatPearls. https://www.ncbi.nlm.nih.gov/books/NBK539742/
Kendirli, T., Kavaz, A., Yalaki, Z., Hişmi, B. Ö., Derelli, E., & İnce, E. (2006). Mechanical ventilation in children. In The Turkish Journal of Pediatrics (Vol. 48). https://www.researchgate.net/publication/6513605_Mechanical_ventilation_in_children
Kollisch-Singule, M., Ramcharran, H., Satalin, J., Blair, S., Gatto, L. A., Andrews, P. L., Habashi, N. M., Nieman, G. F., & Bougatef, A. (2022). Mechanical Ventilation in Pediatric and Neonatal Patients. In Frontiers in Physiology (Vol. 12). Frontiers Media S.A. https://doi.org/10.3389/fphys.2021.805620
Lazoff, S. A., & Bird, K. (2023). Synchronized Intermittent Mandatory Ventilation. Manual of Neonatal Respiratory Care, Fifth Edition, 345–347. https://doi.org/10.1007/978-3-030-93997-7_35
Liu, Y., Wang, Q., Hu, J., Zhou, F., Liu, C., Li, J., Fu, Y., & Dang, H. (2022). Characteristics and Risk Factors of Children Requiring Prolonged Mechanical Ventilation vs. Non-prolonged Mechanical Ventilation in the PICU: A Prospective Single-Center Study. Frontiers in Pediatrics, 10. https://doi.org/10.3389/fped.2022.830075
MacDonald, S., Du Pont-Thibodeau, G., Thibault, C., Jutras, C., Roumeliotis, N., Farrell, C., & Ducharme-Crevier, L. (2024). Outcomes of patients supported by mechanical ventilation and their families two months after discharge from pediatric intensive care unit. Frontiers in Pediatrics, 12. https://doi.org/10.3389/fped.2024.1333634
Misirlioglu, M., Yildizdas, D., Ekinci, F., Ozgur Horoz, O., Tumgor, G., Yontem, A., Talay, M. N., Kangin, M., Tufan, E., Kesici, S., Yener, N., Kinik Kaya, H. E., Havan, M., Tunc, A., Akçay, N., Sevketoglu, E., Durak, F., Ozel Dogruoz, A., Ozcan, S., … Yazar, A. (2023). Evaluation of nutritional status in pediatric intensive care unit patients: the results of a multicenter, prospective study in Turkey. Frontiers in Pediatrics, 11. https://doi.org/10.3389/fped.2023.1179721
Mukhtar, B., Siddiqui, N. R., & Haque, A. (2014). Clinical Characteristics and Immediate-Outcome of Children Mechanically Ventilated in PICU of Pakistan. Pakistan Journal of Medical Sciences, 30(5), 927. https://doi.org/10.12669/PJMS.305.5159
Sahoo, B., Jain, M. K., Thakur, B., Mishra, R., & Patnaik, S. (2018). Demographic profile and outcome of mechanically ventilated children in a tertiary care hospital of a developing country. Journal of Nepal Paediatric Society, 38(1), 14–18. https://doi.org/10.3126/jnps.v38i1.18879
Salah Meligy, B., Kamal, S., & Awad El Sherbini, S. (2017). Mechanical ventilation practice in Egyptian pediatric intensive care units. Electronic Physician, 9(5), 4370–4377. https://doi.org/10.19082/4370
Samanta, M., Das, S., Mahato, S., Rai, A., & Sinhamahapatra, T. K. (2022). Impact of Nutritional Status of Children Admitted in PICU on Mortality and Morbidity. D Y Patil Journal of Health Sciences, 10(3), 110–115. https://doi.org/10.4103/dypj.dypj_32_22
Seaton, S. E., Battersby, C., Davis, P. J., Fenton, A. C., Anderson, J., van Hasselt, T. J., & Draper, E. (2024). Characteristics of children requiring admission to neonatal care and paediatric intensive care before the age of 2 years in England and Wales: a data linkage study. Archives of Disease in Childhood, 109(5), 387–394. https://doi.org/10.1136/archdischild-2023-325986
Seifu, A., Eshetu, O., Tafesse, D., & Hailu, S. (2022). Admission pattern, treatment outcomes, and associated factors for children admitted to pediatric intensive care unit of Tikur Anbessa specialized hospital, 2021: a retrospective cross-sectional study. BMC Anesthesiology, 22(1). https://doi.org/10.1186/s12871-021-01556-7
Sood, S., Ganatra, H. A., Perez Marques, F., & Langner, T. R. (2023). Complications during mechanical ventilation—A pediatric intensive care perspective. In Frontiers in Medicine (Vol. 10). Frontiers Media S.A. https://doi.org/10.3389/fmed.2023.1016316
Teka, S. G., Kebede, R. A., & Sherman, C. (2022a). The prevalence of malnutrition during admission to the pediatric intensive care unit, a retrospective cross-sectional study at Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia. Pan African Medical Journal, 41. https://doi.org/10.11604/pamj.2022.41.77.31284
Teka, S. G., Kebede, R. A., & Sherman, C. (2022b). The prevalence of malnutrition during admission to the pediatric intensive care unit, a retrospective cross-sectional study at Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia. Pan African Medical Journal, 41. https://doi.org/10.11604/pamj.2022.41.77.31284
Thurstans, S., Opondo, C., Seal, A., Wells, J., Khara, T., Dolan, C., Briend, A., Myatt, M., Garenne, M., Sear, R., & Kerac, M. (2020). Boys are more likely to be undernourished than girls: A systematic review and meta-analysis of sex differences in undernutrition. In BMJ Global Health (Vol. 5, Issue 12). BMJ Publishing Group. https://doi.org/10.1136/bmjgh-2020-004030
van Hasselt, T. J., Webster, K., Gale, C., Draper, E. S., & Seaton, S. E. (2023). Children born preterm admitted to paediatric intensive care for bronchiolitis: a systematic review and meta-analysis. BMC Pediatrics, 23(1). https://doi.org/10.1186/s12887-023-04150-7
Wolf, S. E. (2007). Critical care in the severely burned: organ support and management of complications. Total Burn Care, 454–476. https://doi.org/10.1016/B978-1-4160-3274-8.50037-4
Zahrah, A. (2018). Gambaran Pemakaian Ventilator pada Pasien Anak di PICU RSUP HAM Tahun 2016-2017. https://repositori.usu.ac.id/handle/123456789/10950
Zhang, Y. Q., Li, H., Wu, H. H., & Zong, X. N. (2021). Stunting, wasting, overweight and their coexistence among children under 7 years in the context of the social rapidly developing: Findings from a population-based survey in nine cities of China in 2016. In PLoS ONE (Vol. 16, Issue 1 January). Public Library of Science. https://doi.org/10.1371/journal.pone.0245455
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