title: [The use of the Clinical Classification System in a pediatric intensive care unit].
abstract: All admissions to a pediatric intensive care unit (PICU) during a period of 33 months were retrospectively evaluated. We used the Clinical Classification System (CCS) at the time of admission; age, diagnosis, mortality and PICU stay were also evaluated. There were 1027 admissions: 794 (77.3%) with CCS-IV, 228 (22.2%) CCS-III and five (0.5%) CCS-II. The global mortality rate was 36.8%, being 46.3, 4.4 and 0% for groups IV, III and II, respectively. Mortality rate was significantly higher in group IV when compared with III (P < 0.001). Average PICU stay was 5.1 days (range: 0.5 hours-75 days), being higher in CCS-IV than in CCS-III (5.8 vs 2.7, P < 0.001). Comparing CCS with age and diagnosis, were found that mortality was significantly higher for any age group and diagnosis for CCS-IV than for III. The CCS allows to see statistical differences in mortality between groups III and IV, as well as PICU stay.
authors.affiliation: Unidad de Cuidados Intensivos, Instituto de Salud del Niño, Lima, Perú.
authors.forename: J
authors.initials: J
authors.lastname: Tantaleán-Da Fieno
authors.forename: E
authors.initials: E
authors.lastname: Sánchez-Chacaltana
authors.forename: G
authors.initials: G
authors.lastname: Nakachi-Morimoto
authors.forename: A
authors.initials: A
authors.lastname: Santos-Benavides
authors.forename: A
authors.initials: A
authors.lastname: Ramírez-Vega
mesh_terms: D000293:Adolescent; D017677:Age Distribution; D016009:Chi-Square Distribution; D002648:Child; D002675:Child, Preschool; D006801:Humans; D007223:Infant; D007226:Infant Mortality; D007231:Infant, Newborn; D007363:Intensive Care Units, Neonatal / Q000706:statistics & numerical data*; D015278:Intensive Care Units, Pediatric / Q000706:statistics & numerical data*; D008800:Mexico / Q000453:epidemiology; D009026:Mortality; D012189:Retrospective Studies; D012720:Severity of Illness Index
vernacular_title: Uso del Sistema de Clasificación Clínica en una Unidad de Cuidados Intensivos Pediátrica.