Abstract
Background and aims: The pediatric critical care patient has one of the highest risks of malnutrition and when this is present, the prognosis is worst. Aims: The aim of this study was to determine de relation between malnutrition and physiological stability with the mortality in a pediatric critical care unit. Methods: Descriptive, transversal, observational, analytic study. All the patients that were admitted in the pediatric critical care unit between august 2011 and august 2012 were included. The study variables were morbidity and mortality rates, nutritional assessment, age, gender, and physiological status. There was used descriptive statistics for the analysis of qualitative data and the discontinuous variables; and central and dispersion measurements for the continuous variables (SPPS v.19). Results: There were analyzed 219 patients, 33.8% of the patients presented a cardiovascular disease; the physiological stability of the patients was measure with the PRISM score, according with this, 80.4% of the patients were at low risk, 19.2% moderate risk and only 0.5% at high risk. The patients with a moderate or high risk PRISM score have 29 more chances of dying tan those with low risk PRISM score (Ji2; OR= 29.25, p<0.05). There were no significant correlation between the physiological stability and the nutritional assessment. Conclusions: We can conclude that the early identification of the PRISM score in the pediatric patient that is admitted in the pediatric critical care unit it’s very important because for further evaluation, treatment measures and prognosis in an effort for decreasing the mortality.
Published Version
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