Table of Contents
Journal of Critical Care Medicine
Volume 2014 (2014), Article ID 842050, 4 pages
http://dx.doi.org/10.1155/2014/842050
Research Article

A National Survey of Pediatric Intensive Care Units in Pakistan

1Department of Pediatrics and Child Health and Department of Clinical Trial Unit, Aga Khan University Hospital, Karachi 74800, Pakistan
2Institute of Children Hospital, Lahore, Pakistan
3Abbasi Shaheed Hospital, Karachi, Pakistan

Received 30 April 2013; Revised 8 August 2013; Accepted 5 September 2013; Published 5 January 2014

Academic Editor: Ricardo Rivera-Fernández

Copyright © 2014 Anwarul Haque et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose. To describe the structure, staffing resources, equipment, academic activities, and characteristics of pediatric population of pediatric intensive care units across the country. Material & Method. This was a prospective, descriptive, and observational survey of pediatric intensive care units from January to December 2009 across Pakistan. A questionnaire survey was emailed to director of each unit. Results. 16 PICUs were participated in this survey (100% response rate). A total of units with 155 beds were identified (1.1 bed /500,000 children). Regarding the categories, 12 (75%) were medical, 3 (19%) were pure cardiac intensive care units, and one unit (6%) was combined multidisciplinary cardiothoracic unit. 13 (81%) units were in public sector as compared to 3 (19%) were in private sector. The mean unit size was 9.7 (range 4–28) beds. Twelve (75%) units were located in three large cities. Only 3 (19%) units have trained intensivist. 37% (6/16) had nurse to patient ratio of 1 : 1-1 : 2 while others had ratios of 1 : 3–1 : 5 with all nurses specialized trained for pediatric intensive care units with bachelor degree or diploma in nursing. Only 50% had capacity for invasive monitoring. Conclusion. We found inadequacies in several aspects of PICUs in Pakistan including fewer PICUs, inadequate PICU beds, and lack of trained personal to look after critically ill pediatric population.