Shock in the Pediatric Emergency Service: Five Years' Experience
Resource
ACTA PAEDIATRICA SINICA v.40 n.1 pp.9-12
Journal
ACTA PAEDIATRICA SINICA
Journal Volume
v.40
Journal Issue
n.1
Pages
9-12
Date Issued
1999
Date
1999
Author(s)
CHANG, PIN
HSU, HONG-YUAN
CHANG, MEI-HWEI
LIN, FANG-YUE
Abstract
We undertook a retrospective study of the risk factors determining outcome of nontraumatic patients with shoch in the pediatric emergency service. From October 1992 through Septemper 1997, 22 patients with the diagnosis of shock were identified,, including 11 with septic shock (50%), 7 with hypovolemic shock (32%) and 4 with cardiogenic shock (18%). Their age ranged from 2 months to 19 years old. Among the cases, 14 patients (64 %) had other underlying diseases. Gram -negative bacterial sepsis (6/11, 55%), dilated cardiomyopathy (2/4, 50%) and acute gastroenteritis (7/7, 100%) were the most frequent causes of septic, cardiogenic and hypovolemic shock, respectively. In total, 12 patients ( 55%) died. The mortality rate was high in septic shock (9/ 11, 82%) and cardiogenic shock patients (3/4, 75%), but low in hypovolemic shock patients (0/7, 0%). The risk factors of poor outcome in patients with shock included thrombocytopenia, prolonged prothrombin time and partial thromboplastin time. Patients with leukopenia, a higher level of C-reactive protein, or under 2 years of age tended to have poor outcome.
Subjects
SHOCK
PEDIATRIC EMERGENCY SERVICE
RISK FACTORS
Type
journal article