Rev. Soc. Bras. Enferm. Ped.2021;21(2):125-32.
Complex chronic conditions and hospital outcomes in a pediatric intensive care unit
DOI: 10.31508/1676-379320210018
Abstract
Objective
To analyze the association of complex chronic conditions (CCC) with death in a pediatric intensive care unit and association with hemodynamic and ventilatory support, hospital infections and length of stay.
Methods
Retrospective cohort, between 2012 and 2017, with hospitalizations of children with CCC, considered an exposure variable. Poisson regression was used, with 5% significance and calculation of relative risk (RR).
Results
Of the 585 children, 51.3% had CCC. Encephalopathies, neoplasms and pneumopathies were more frequent. These children had lower risk of using vasoactive drugs (VAD in the first 24 hours of admission (RR=0.72; 95%CI=0.54-0.98). The incidence of nosocomial infections was higher (RR =1.49; 95%CI=1.10-2.03) and death (RR=2.14; 95%CI=1.46-3.13), even after controlling for confounding variables.
Conclusion
There was a high frequency of CCC, with a significant difference for a lower risk of using VAD in the first 24 hours of admission, and a higher incidence of hospital infections and death.