Predictors of mortality in children presenting with fever and rash
Journal Title: MedPulse -International Medical Journal - Year 2017, Vol 4, Issue 5
Abstract
Objective: 1) Clinical profile of children presenting with fever and rash 2) To find mortality predictors of the admitted children with fever and rash. Design: Prospective observational study Setting: Paediatrics PICU and ward Govt. Medical College Miraj Sample Size: 155 children presented with fever and rash in IPD (Paediatrics Department) GMC, Miraj from Oct. 2009 to Oct 2011 Inclusion Criteria: Children between 0 to 12 year admitted with fever and rash from Oct. 2009 to Oct 2011 In Paediatric ICU and Ward in GMC, Miraj Exclusion Criteria: Children having pre-existing severe systemic illness eg. Chronic liver disease, lymphoreticular malignancies and bleeding and clotting disorders were excluded. Results: Out of 155 children enrolled mortality was 17 (10.96%). Comparing various risk factors in children who died versus who survived showed that risk factors for age <5 years were 15 children (88.20%, 9 male children (52.9%), duration of symtoms before > 2 days admission were14 children (82.2%), type of maculopapularrash in 13 children (76.5%), malnourished 14 children (82.4%), unimmunized children 10 (58.8%),platelets > 1 lakh in 13 children (76.5%) were not found not to be associated mortality. However the risk factors of maculopapular rash with fever with respiratorty distress in7 children (41.1%) and CNS manifestation (alerted consciousness / convulsion) in 15 children’s (88.2%) were significantly associated with mortality( P ~<0.01) The children admitted with maculopapular rash with fever with respiratory distress (7 patients i.e 41.15%) and encephalitis (15 patients i.e 88.20%) were likely to have higher mortality. Conclusions: In patients with maculopapular rash with fever with respiratory distress and CNS manifestation like altered sensorium/convulsion “early detection and early referral” to higher centre can reduce significant mortality
Authors and Affiliations
Mateen R Shaikh, Sambhaji S Wagh
Keywords
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