Health Care : Current Reviews

Abstract

Factors Associated with Mortality in the Pediatric Intensive Care Unit at Bernard Mevs Hospital in Haiti

Taina Brice, Maurice J. Chery, Anne-Rose Miguel, Naïka Paulemie Désir, Maraika Jean-Noel, Nelenda Laflèche, Richcard Alexandre, Richcard Alexandre, Steeven Joseph, Kohlz Erley Saint Jusca, Raymonde Pinchinat and Adonaï Aly Isaac Julien

Objective: The objective of this study was to identify the main factors influencing the mortality of patients aged 1 month to 16 years hospitalized in the pediatric intensive care unit at the Bernard Mevs Hospital (HBM). Methods: This is a retrospective cross-sectional and analytical study over one year, in the pediatric intensive care unit of HBM from January 2017 to December 2017. Results: From January 1, 2017, to December 31, 2017, 122 files of patients admitted to the Pediatric Intensive Care Units (PICU) at HBM were selected. Among those patients, a male predominance was demonstrated with 76 patients, or 63.30%, with a sex ratio of 1.65. The average age of the patients was 5.73 ± 4.73 years. The mortality rate was 33.60%, dominated by septic shock in 24% of cases. The probability of dying in the PICU is higher in male patients (p-value: 0.0049) and in patients who have been intubated (p-value: 0.0021). Conclusion: Our study has demonstrated a high mortality rate among male patients and those who have been intubated. Most of the causes of admission were preventable. Other studies should be carried out to generalize data and identify key measures to reduce the infant and child mortality in Haiti.

Published Date: 2025-08-20; Received Date: 2024-11-20