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.

BMJ Open
|July 29, 2026
PubMed

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.
Abstract

Related Concept Videos

Acute Kidney Injury V: Interprofessional Care01:20

Acute Kidney Injury V: Interprofessional Care

Acute Kidney Injury (AKI) requires a collaborative healthcare approach to restore renal function and prevent complications. Essential management strategies involve monitoring fluid and electrolyte balance, adjusting medications, initiating dialysis when necessary, and providing nutritional support.Fluid and Electrolyte ManagementFluid Monitoring: Regularly monitoring body weight, central venous pressure, and urine output helps detect fluid imbalances early. Patient intake and output are...
Acute Kidney Injury IV: Diagnostic Studies and Prevention01:30

Acute Kidney Injury IV: Diagnostic Studies and Prevention

Accurate diagnosis and effective prevention are critical in managing Acute Kidney Injury (AKI), which is linked to high mortality rates ranging from 10% to 80%. Timely recognition of at-risk patients and careful monitoring can significantly reduce the likelihood of kidney damage.Diagnostic Assessments:The diagnostic process starts with a comprehensive medical history to identify prerenal, intrarenal, and postrenal causes.Prerenal causes, such as dehydration, hypotension, or blood loss, should...
Acute Kidney Injury I: Introduction01:22

Acute Kidney Injury I: Introduction

Introduction:Acute Kidney Injury (AKI) describes a swift decrease in kidney function occurring over hours to days, characterized by the kidneys' failure to remove waste products from the bloodstream. This leads to dangerous complications like metabolic acidosis, fluid overload, and electrolyte imbalances, such as hyperkalemia, which can cause life-threatening arrhythmias. AKI is common in both hospital and outpatient settings, often triggered by dehydration, sepsis, or exposure to nephrotoxic...
Acute Kidney Injury III: Clinical Manifestations01:29

Acute Kidney Injury III: Clinical Manifestations

Acute Kidney Injury (AKI) progresses through distinct clinical phases: the oliguric, diuretic, and recovery phases, each marked by unique manifestations and challenges.Oliguric Phase:The oliguric phase is the initial stage of AKI, typically lasting 10 to 14 days. This phase is marked by a significant reduction in urine output, usually less than 400 mL per day, indicating decreased kidney function. Fluid retention is a prominent feature, leading to symptoms such as edema, hypertension, and...
Acute Respiratory Failure-II01:21

Acute Respiratory Failure-II

Type I Respiratory Failure, or hypoxemic respiratory failure, occurs when the partial pressure of oxygen (PaO2) in arterial blood falls below 60 mmHg while breathing room air without a corresponding increase in arterial carbon dioxide levels (PaCO2). This condition highlights a significant impairment in the lungs' capacity to oxygenate the blood.
The underlying physiological abnormalities that contribute to hypoxemic respiratory failure include:
Acute Respiratory Failure-I01:21

Acute Respiratory Failure-I

Acute respiratory failure is a condition characterized by the inability of the lungs to perform their primary function: gas exchange. This failure leads to insufficient oxygen levels (hypoxemia) in the blood, elevated carbon dioxide levels (hypercapnia), or both, causing critical impairment in organ function.
Definition: It is defined by specific criteria based on blood gas measurements. Hypoxemia happens when the partial pressure of oxygen (PaO2) falls below 60 mmHg. At the same time,...