PLATELET COUNTS AND OUTCOME IN PAEDIATRIC INTENSIVE CARE UNIT

Dr. Mittal P.*, Dr. Barman M.L., Dr. Ghanghoriya P., Dr. Ajmariya M. and Dr. Khandare M.

ABSTRACT

INTRODUCTION: Thrombocytopenia is defined as platelet count less than 150×109/L. Thrombocytopenia results from underproduction or overconsumption of platelets. OBJECTIVE: Objective of this study is to understand the clinical profile of Thrombocytopenia patients. To correlate the incidence related diseases with Thrombocytopenia and find the outcome. METHODS: This is a prospective case control study. Over a period of 3 months from March 2016 to May 2016. 120 Patients admitted in the PICU of department of Paediatrics are studied for platelets count and outcome. RESULTS: This study was designed as case control study having 60 subjects in both the groups. Mean platelet count on admission and on discharge of the cases group subjects were observed at 80728.33(±110285.55) while at discharge this was 167891.9(±43065.18) showed a significant change. (P<0.05). In control group the observations were as 213145.6(±40928.4) and 240073.3(±39682.6). In case group the mean baseline platelet of the cases who were died was 56605.5 (±13928.4) while among the cases who were discharged the baseline platelet was 91066.6 (±130603.6) and this was significantly higher (p<0.05). CONCLUSION: Mortality was significantly higher in patients having thrombocytopenia (30%), as compare to non thrombocytopenic patients (10%).

Keywords: Thrombocytopenia, PICU, sepsis, meningitis.