Abstract P-372: ESTABLISHMENT OF PAEDIATRIC INTENSIVE CARE REGISTRY IN LATVIA

Abstract

Aims & Objectives: Latvia is an Eastern European country with a population of just less than 2 million. There is a single eight-bed PICU where all critically ill children are admitted. A recent retrospective audit of paediatric critical care outcomes in Latvia revealed high number of unplanned extubations and excess crude mortality. In 2017 our centre joined UK and Ireland based Paediatric Intensive Care Audit Network (PICANet) as a pilot project for paediatric critical care registry. Methods Riga Stradins University Ethics Committee approved the study. Anonymized data of all patients admitted to our unit from 1st of June to 30th of November, 2017 were prospectively entered in PICANet WEB site. Results A total of 399 PICU admissions were analyzed; 43% of admissions were elective. The median length of stay was 0.94 days (IQR: 0.79–1.94). 20% required mechanical ventilation. There were 8.65 expected deaths as calculated by Paediatric Index of Mortality 3; 7 patients (1.8%) died. Emergency readmission rate within 48 hours after PICU discharge was 0.5%. There were 2.7 unplanned extubations per 100 invasive ventilation days. On 30-day follow-up 339 patients were alive and outside hospital, 45 were inpatients, 3 had died, 2 were lost to the follow-up. Conclusions This project explored possibility of paediatric critical care audit in Latvia by joining established international network. This allowed direct comparison of outcomes between the countries. Excess mortality was not observed during this short data collection period, however high rate of unplanned extubations was revealed. Different case mix, particularly, large proportion of low intensity care, complicated the comparison.