A study on assessment of various clinical parameters and outcome in children with shock in a tertiary care hospital Andhra Pradesh, India

Abstract

Introduction: Shock is an acute, complex state of circulatory dysfunction, one of the commonest paediatric emergencies. A study was conducted to categorize the shock states in children based on etiology and also to find the association of various clinical and laboratory parameters of shock with outcome. Materials and methods: Study was conducted in the department of paediatrics, ASRAM, Eluru from December 2014 to June 2016. Children aged 1 month to 12 years, those admitted with clinical diagnosis of shock were included and neonates, non cooperative were not considered. Thorough and detailed clinical examination as well as history was taken. Battery of tests were considered in the diagnosis of shock and also blood pressure, oxygen saturation etc were also analysed. Chi square test was used to find the association between variables. Results: Septic shock was the predominant followed by hypovolemic shock. Most of these were survivors and etiology wise, death wise highest in hypovolemic shock. Mean CRT at the time of admission was almost similar among the groups; but it was decreased in non survivors after 24 hrs; statistically the difference was significant. Conclusion: Septic shock was diagnosed to be the commonest and death rate was reported to be highest in hypovolumeic shock. There was significantly lower levels of clinical parameters at the time of admission and inotrope usage was highest among the non survivors.