Resumen

FERNANDEZ, Rosalía; MACUARISMA LEZAMA, Pedro; FIGUEROA, Marlyn  y  MACUARISMA VELASQUEZ, Pedro. Association between systemic inflammatory response and organ dysfunction in paediatric emergencies. Arch Venez Puer Ped [online]. 2014, vol.77, n.3, pp.116-119. ISSN 0004-0649.

In pediatric emergency rooms, the risk of dying is a fact of particular importance. The severity of a disease is difficult to define, for this reason, risk of death scales have been developed. To optimize the preparation of emergency departments in the management of children with serious diseases we need to know the characteristics of the patient and his illness. Goal: To assess the relationship between systemic inflammatory response syndrome and organ dysfunction in children Methodology: Prospective cohort. Children with serious acute illness, admitted consecutively to the Emergency Department, evaluation of clinical and physiological variables. Analysis of the effect of variables on the risk of mortality and multiple organ dysfunction Results: Serious risk of acute illness, 70/105 children < 12 years; age median 0.9 (0, 3-3, 9) years; multiple organ dysfunction syndrome, 14 (24.1%) 58; rate 6.9% observed mortality. Risk of death in children with dysfunction multi-organ 3/14 (21.4%) against 1(2,3%) of 44 children without multiple organ dysfunction (RR 9.4; ) χ² ( 6.1; p 0.04) Conclusion: In children with acute and severe illnesses, the risk of death is positively associated with the risk of multiple organ dysfunction.

Palabras clave : Pediatrics; intermediate care; systemic inflammatory response syndrome multiple organ dysfunction; prediction; cohort study models.

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