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Anemia at Discharge From the PICU: A Bicenter Descriptive Study

Pierre Demaret1,2, Frédéric V Valla3, Hélène Behal4

  • 1Division of Pediatric Critical Care Medicine, Department of Pediatrics, CHC, Liège, Belgium.

Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies
|June 28, 2019
PubMed

Insights

Anemia is common in children leaving the pediatric intensive care unit (PICU). Anemia at PICU admission is a key predictor of discharge anemia, with specific risk factors varying by age.

Area of Science:

  • Pediatric critical care medicine
  • Hematology
  • Epidemiology

Background:

  • Anemia is a frequent complication in critically ill children.
  • Understanding anemia prevalence and risk factors at pediatric intensive care unit (PICU) discharge is crucial for patient management.

Purpose of the Study:

  • To determine the prevalence of anemia at PICU discharge.
  • To identify risk markers associated with anemia at PICU discharge in children.

Main Methods:

  • A bicenter retrospective cohort study was conducted.
  • Data from 3,170 children admitted to two French PICUs over five years were analyzed.
  • Anemia was defined using World Health Organization criteria.

Main Results:

  • 58.9% of children were anemic at PICU discharge.
  • Anemia at PICU admission was the strongest predictor of discharge anemia, with age-dependent associations.
  • Factors influencing anemia risk included red blood cell transfusions, age, creatinine levels, platelet count, C-reactive protein, plasma transfusions, and mechanical ventilation.

Conclusions:

  • Anemia is prevalent upon discharge from the PICU.
  • Anemia status at PICU admission helps stratify risk for discharge anemia.
  • Further research is needed to elucidate the causes and outcomes of post-PICU anemia.
Abstract

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