PATTERN AND OUTCOME AMONG PEDIATRICS PATIENTS ADMITTED TO EMERGENCY WARD WITH SHOCK, IN A 3 MONTHS PROSPECTIVE FOLLOW-UP STUDY, AT TIKUR ANBESSA SPECIALIZED HOSPITAL, ETHIOPIA

Abstract

Background: Shock is a life-threatening condition of circulatory failure, causing inadequate oxygen delivery to meet the metabolic demand of the body and the mismatch of oxygen consumption and requirements, producing cellular and tissue hypoxia. This study was done to assess the pattern and outcome of shock of pediatrics patients admitted to the pediatrics emergency unit of Tikur Anbessa Hospital.

Method: The study was conducted in the department of Pediatrics and child health at Tikur Anbessa Hospital AAU College of Health Sciences Department of pediatrics and child health Emergency unit between March 1st, 2019 to June 1st, 2019. It was a prospective study of patients admitted during the study period. Children aged 7 days to 15 years with clinical diagnoses of shock were included, after written consent from parents.

Result: Out of the total 23 children admitted with shock, 12/23 had septic shock, 11/23 had a hypovolemic shock. The two most common age groups admitted with shock were those between 3 months to 12 months (8/23) and less than one month (7/23). From the total of the study participant, 16/23 children survived and 7/23 children died. Out of all deaths, the most common cause of deaths were septic shock accounts for the death of four out of total deaths of seven.

Conclusion: In the present study septic shock is the commonest type of shock and also the highest cause of death. Those patients who did not show improvement with one inotrope who needed two or more inotropes indicate poor prognosis