title: A clinical profile of shock in children in Punjab, India.
abstract: This prospective study was conducted to determine the frequency, etiology, type and outcome of shock in hospitalized children in the age group of 1 month to 15 years. There were 98 cases of shock, constituting 4.3% out of total admissions. Mean age was 2.8 +/-3.4 years. Maximum number of patients (39) was seen in infancy. Hypovolemic shock due to acute diarrheal disease was the commonest type (45.9%) followed by septic, cardiogenic and distributive shock. Compensated stage was common in hypovolemic shock (88.9%) whereas majority of patients with septic shock (73.5%) presented in decompensated stage. Overall survival was 73.6%. The survival rate was best in hypovolemic shock (97.7%;) followed by septic(53.3%) and cardiogenic shock(43.7%). Inotropes and ventilatory support were required in 46% and 23% patients, respectively. Diagnosis and management of shock in compensated stage carried better prognosis than in uncompensated shock irrespective of the age of the patient.
authors.affiliation: Department of Pediatrics, Dayanand Medical College and Hospital, Ludhiana, Punjab, India.
authors.forename: Daljit
authors.initials: D
authors.lastname: Singh
authors.forename: Atul
authors.initials: A
authors.lastname: Chopra
authors.forename: Puneet Aulakh
authors.initials: PA
authors.lastname: Pooni
authors.forename: R C
authors.initials: RC
authors.lastname: Bhatia
mesh_terms: D000293:Adolescent; D000367:Age Factors; D002648:Child; D002675:Child, Preschool; D003422:Critical Care; D003967:Diarrhea / Q000150:complications; D005260:Female; D006760:Hospitalization; D006801:Humans; D007194:India; D007223:Infant; D008297:Male; D011379:Prognosis; D011446:Prospective Studies; D012769:Shock / Q000145:classification / Q000401:mortality / Q000628:therapy*; D012770:Shock, Cardiogenic / Q000401:mortality / Q000628:therapy; D012772:Shock, Septic / Q000401:mortality / Q000628:therapy; D016019:Survival Analysis; D016896:Treatment Outcome