Diagnóstico precoz de la coagulación intravascular diseminada para disminuir la mortalidad en pacientes ingresados en la Unidad de Cuidados Intensivos Pediátricos del hospital del niño Dr. Francisco de Icaza Bustamante, periodo enero 2022 a diciembre 2023.

Abstract

Introduction: disseminated intravascular coagulation is a hemostasis deregulation which occurs secondarily to other infectious or non -infectious pathologies in the critically ill patient. Objective: demonstrate that the timely and early diagnosis of intravascular coagulation disseminated in critically ill patients may reduce mortality in patients admitted to the pediatric intensive care area of the Hospital del Niño “Dr. Francisco de Icaza Bustamante ”from January 2022 to December 2023.Materials and Methods: the analysis of 381 clinical files recorded in the hosvital computer system corresponding to patients admitted to the Pediatric Intensive Care Unit was performed in the Hospital del Niño . Francisco de Icaza Bustamante” from January 2022 to December 2023, of which 44 patients completed the inclusion criteria according to the JAAM: ITSH and JMHW. Results: in the hospital, disseminated intravascular coagulation has an incidence rate of 11.5% in critically patients admitted to UCIP according to JAAM criteria, of which 50% presented some comorbidity, the most frequent oncohematological pathologies being the most frequent. The septic shock (55%) is the most frequent cause of admission to UCIP, followed by respiratory failure (20%) trauma (18%), and to a lesser extent the convulsive status (4.5%) and final). The diagnosis of CID was established at 79.7% in the first 10 days at its entry to UCIP with an average of 7.1 days, with an incidence of 11.5% and a mortality rate of 68.1% of the total analyzed and an average of 4.8 days after they were diagnosed. Conclusions: the critically ill pediatric patient has the risk of developing disseminated intravascular coagulation within the first 7 days of admission to the pediatric intensive care unit, with a high mortality rate once established, hence the importance of establishing a diagnosis early.