Serious hematological diseases in the Pediatric Intensive Care Unit of Pinar del Río

• Published in: Revista de Ciencias Médicas de Pinar del Río Vol. 21; no. 4; pp. 495 - 502
• Main Authors: Bárbara María Esquijarosa Roque, Ana Mercedes Guillén Cánovas, Sarah Álvarez Reinoso, María Isabel Bazabe Márquez, Jilsa Hernández García
• Format: Journal Article
• Language: Spanish
• Published: ECIMED 01.06.2017
• Subjects: CUIDADOS INTENSIVOS; ENFERMEDADES HEMATOLÓGICAS/clasificación,etiología; NIÑOS
• ISSN: 1561-3194

Introduction: patients with hematological diseases admitted in intensive care units have special characteristics because they have complex diseases requiring a multidisciplinary approach. Intensive care has contributed to the improvement of their survival by the use of new diagnostic and therapeutic strategies.   Objective: to elaborate a set of rules to perform the diagnostic and therapeutic procedures on the severe types of hematological diseases.   Method: a cross-sectional and descriptive research was carried out comprising the patients suffering from hematological diseases treated in the intensive care service at Pepe Portilla Provincial Pediatric Teaching Hospital, Pinar del Río between the years 2011 to 2015. The information was processed using the method of descriptive statistics with a computer program and processed using the statistical software EPINFO.   Results: 64% of the patients were male, the group of ages from 5-10 years old predominated, acute lymphoblastic leukemia was the most frequent disease and myeloblastic showed the highest mortality rate. Septic shock (25%), acute respiratory failure (19.4%), and respiratory distress (16.6%) were the main complications presented in this service; neutropenia was the most influential factor of the syndrome due to the systemic inflammatory response.   Conclusion: malignant diseases sometimes present a serious evolution, requiring admission to intensive care, leukemias are well-known within them.