Author Of 2 Presentations
SEVERITY AND MORTALITY PREDICTORS OF PEDIATRICS ACUTE RESPIRATORY DISTRESS SYNDROME IN SINGLE TERTIARY HOSPITAL
Abstract
Background
Pediatric acute respiratory distress syndrome (PARDS) has been recognized as a burden for critically ill pediatric patients. Previously, the definitions of PARDS were referenced from adults. In 2015, the Pediatric Acute Lung Injury Consensus Conference (PALICC) developed new criteria which were specific for the pediatric group.
Objectives
To examine the incidence and the factors predicting the severity and mortality of ARDS according to PALICC definition in a single tertiary center in Thailand.
Methods
Children aged 1 month to 15 years with acute respiratory failure admitted to the Pediatric intensive care unit (PICU) in Songklanagarind Hospital from January 2013 to December 2016 were reviewed retrospectively.
Results
129 patients (7.4%) were diagnosed as PARDS using the PALICC definition whereas 97 patients (5.5%) by using Berlin definition. From PALICC definition; fifty-seven (44.2%) patients were mild, 35 (27.1%) were moderate, and 37 (28.1%) were severe. After multivariable analysis was performed, factors significantly associated with moderate to severe disease were PRISM III score (p =0.004), underlying oncologic/hematologic disorder (p=0.012), and serum albumin level (p=0.006). The 30-day all-cause mortality rate was 51.2% (66/129). The predictors of mortality were the PRISM III score (p=0.017), underlying oncologic/hematologic disorder (p=0.002), receiving systemic steroid (p=0.019), having airleak syndrome (p=0.008), and presenting with multiorgan dysfunction (p=0.003).
Conclusion
The incidence and mortality rate of PARDS in a developing country are high. The oncologic/hematologic comorbidity had a significant impact on severity and mortality.
CROSSOVER RANDOMIZED CONTROLLED TRIAL OF HIGH-FIDELITY SIMULATION-BASED TRAINING COMPARE TO CASE DISCUSSION FOR TEACHING PEDIATRIC RESIDENTS IN PEDIATRIC CRITICAL CARE MEDICINE
Abstract
Background
Simulation based training was increasing popularity over the decade. Simulation training was used to enhanced learner experience and concerted with adult type learning theory.
Objectives
To assess the effectiveness of high-fidelity simulation-based training (SIM) compare to case-based discussion (CBD) for teaching pediatrics resident in Pediatric Critical Care Medicine topics.
Methods
This study was a prospective, stratified randomized, crossover study of 27 pediatric residents in a single center. Pediatric residents were stratified randomized to 2 groups (A and B). In the first session, residents in group A was experienced to simulation training in pediatric septic shock and pediatric acute respiratory distress syndrome in the group B. During a second session, the residents crossed over and participated case discussion in a different scenario. The primary outcome was written examination scores and the satisfactory of each type of learning.
Results
Of 27 eligible pediatric residents in the academic year of 2018, all of them participated in this study. There was no significant difference of mean examination scores in both groups (42.4±9.0 vs 43.5 ±11.2, p =0.7) In the same direction, the satisfactory from the evaluations were same in both groups in all domains.
Conclusion
There was no significant different in written scores and satisfactory among between 2 types of learning in pediatric critical care medicine topics.
Presenter of 1 Presentation
CROSSOVER RANDOMIZED CONTROLLED TRIAL OF HIGH-FIDELITY SIMULATION-BASED TRAINING COMPARE TO CASE DISCUSSION FOR TEACHING PEDIATRIC RESIDENTS IN PEDIATRIC CRITICAL CARE MEDICINE
Abstract
Background
Simulation based training was increasing popularity over the decade. Simulation training was used to enhanced learner experience and concerted with adult type learning theory.
Objectives
To assess the effectiveness of high-fidelity simulation-based training (SIM) compare to case-based discussion (CBD) for teaching pediatrics resident in Pediatric Critical Care Medicine topics.
Methods
This study was a prospective, stratified randomized, crossover study of 27 pediatric residents in a single center. Pediatric residents were stratified randomized to 2 groups (A and B). In the first session, residents in group A was experienced to simulation training in pediatric septic shock and pediatric acute respiratory distress syndrome in the group B. During a second session, the residents crossed over and participated case discussion in a different scenario. The primary outcome was written examination scores and the satisfactory of each type of learning.
Results
Of 27 eligible pediatric residents in the academic year of 2018, all of them participated in this study. There was no significant difference of mean examination scores in both groups (42.4±9.0 vs 43.5 ±11.2, p =0.7) In the same direction, the satisfactory from the evaluations were same in both groups in all domains.
Conclusion
There was no significant different in written scores and satisfactory among between 2 types of learning in pediatric critical care medicine topics.