Description

Surridge et al reported risk factors associated with admission to the intensive care unit (ICU) for a patient with pertussis. These can help to identify a patient who may require more aggressive management. The authors are from the University of Auckland in New Zealand.


 

Patient selection: pediatric patient with pertussis

 

Outcome: death or disability (respiratory, neurodevelopmental) following admission to the ICU

 

Risk factors for death or disability:

(1) comorbid condition (congenital heart disease, chronic respiratory disease, etc)

(2) elevated absolute lymphocyte count (lymphocytosis)

(3) seizures or encephalopathy as reason for ICU admission

(4) shock as reason for ICU admission

(5) probability of mortality >= 1% by the pediatric index of mortality (PIM) score

(6) abnormal neurological signs

(7) readmission to the ICU

 

Additional risk factors:

(1) no immunizations

(2) pneumonia as reason for ICU admission

(3) post-tussive vomiting pre-admission

 


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