Abstract P-278: OUTCOME AND PHYSIOLOGICAL STABILITY AFTER PREHOSPITAL AND EMERGENCY WARD MANAGEMENT IN PEDIATRIC INTENSIVE CARE UNIT ADMISSION IN GUATEMALA

Abstract

Aims & Objectives: Determine the outcome based in differences of physiological stability in patienst admitted after management in prehospital or emergency ward. Determine more related findings of delays of treatment and relted with previous ward hospitalization. Methods 286 patients Physiological stabillity evaluation based in PRISM socre are performed since admission, 12 hours and 24 hours. Clincal, laboratory and anthropometric consdirations are used to nutritional assesment. Follow up of physiological variables are recorded and compered with the outcome of the patient admitted of PICU in Hospital General San Juan de DIos in GUatemala City. The approach of the chief complait is based to standard approach, guidelines and protocols accepted in the field. 7/ 2015 – 7/2016 Results Mean Arterial Pressure, Organ Perfussion Pressure, pH, HCO3, Base Deficit were lower in non surviros as the same use of High FiO2 at admission, as the same at 6 hours and in 72 hours changes in heart rate, Central Venous Pressure and mantain HIgher FiO2 are related with poor outcome. The ER procedence is related with higher mortality with statistical difference. PRISM score above 23 points is realted with more predictive mortality. Delays in apoorach and stabilization are realted with poor prognosis. as population the observed and predicted mortalitty stanrized mortality ratio in those patients is > 1. There is no differences based in nutrtional status Conclusions Delays and physiological stability in nourished or malnourished patients are related with higher mortality. Admittance form ER realted with porr recognition in hospital ward are related with mortality in public hospital in Guatemala