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Published on: January 16, 2019
Characteristics and outcomes of paediatric intensive care unit admissions across Kuwait: multicentre national-level
Abdulla Alfraij1, Mohammad Alghounaim2, Mostafa Galal3
1Pediatric Intensive Care Unit, Pediatrics Division, Kuwait Oil Company (KOC), Ahmadi Hospital, Al Ahmadi, Al Ahmadi Governorate, Kuwait alfraij.abdulla@gmail.com.
Insights
Kuwait
Area of Science:
- Paediatric Intensive Care
- Critical Care Medicine
- Public Health Surveillance
Background:
- National paediatric intensive care registries are crucial for care benchmarking and understanding disease burden.
- Limited national-level data exists for paediatric intensive care units (PICUs) in the Middle East.
- This study addresses the data gap by analyzing PICU admissions in Kuwait.
Purpose of the Study:
- To describe national patterns of paediatric intensive care unit admissions in Kuwait.
- To analyze case mix, interventions, seasonality, and outcomes of PICU admissions.
- To identify inter-site variations in care practices.
Main Methods:
- Retrospective multicentre cohort study of all PICU admissions in Kuwait.
- Data extracted from a national PICU registry (January 2023 - June 2025).
- Descriptive statistical analysis at national and centre levels.
Main Results:
- 5,534 PICU admissions analyzed; infants comprised 44.4%.
- Respiratory disorders were the leading diagnosis (63.9%); median PICU stay was 3 days.
- Overall PICU mortality was 2.6%, with significant inter-centre variability in respiratory support.
Conclusions:
- First national analysis of PICU admissions in Kuwait, showing infant predominance and high respiratory illness burden.
- Short PICU lengths of stay and low overall mortality were observed.
- Inter-centre variability in respiratory support highlights needs for national standardization and quality improvement.
Background:
National paediatric intensive care registries are essential for benchmarking care, understanding population-level disease burden and identifying inter-site variation. However, such national-level data from the Middle East remains limited. This study aims to describe national patterns of paediatric intensive care unit (PICU) admissions, case mix, interventions, seasonality and outcomes across Kuwait.
Methods:
This retrospective multicentre cohort study included all PICU admissions across the governmental hospitals in Kuwait between 1 January 2023, and 30 June 2025. Demographic characteristics, clinical data and outcomes were extracted from a national PICU registry. Data were analysed at national and centre levels using descriptive statistics.
Results:
A total of 5,534 PICU admissions were analysed. Median age was 10.5 (IQR 2.4-57) months, with infants accounting for 44.4% of admissions. Respiratory disorders were the predominant diagnosis (63.9%). The median PICU length of stay was 3 (IQR 1-6) days. The intubation rate among PICU admissions was 20.9%. Central venous access was used in 18.1% of cases. Admission peaks occurred during late autumn and winter, with a 1-month shift in peak timing in 2024 compared with that in 2023. The overall PICU mortality rate was 2.6%, with centre-level mortality ranging from 0.9% to 5.6%. Substantial inter-centre variability was observed in respiratory support practices and procedural utilisation.
Conclusion:
This study represents the first national-level analysis of PICU admissions across Kuwait. Admissions were characterised by infant predominance, a high burden of respiratory illness, short lengths of stay and low overall mortality. Marked inter-centre variability in respiratory support practices highlights opportunities for national standardisation, capacity planning and registry-driven quality improvement.
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