Kết quả điều trị suy hô hấp do bệnh thần kinh cơ tại Khoa Điều trị Tích cực Bệnh viện Nhi Trung ương

This study is to determine the results and to determine associated factors in relation to the treatment of neuromuscular respiratory failure at the Pediatric Intensive Care Unit (PICU) of Vietnam National Children Hospital, from 1/5/2017 to 7/30/2019. This is a descriptive study of 49 pediatric patients (17 retrospective studies, 32 retrospective cases) diagnosed with neuromuscular disease with respiratory failure treated at PICU. Unknown cause of neuromuscular disease represents 40,8% of the patients. The mortality rate was 12.2%, the average duration of treatment was 24.3 ± 23.6 days, the shortest is 2 days, the longest is 112 days. The average duration of mechanical ventilation is 21.8 ± 23 days, the shortest is 1 day, the longest is 102 days, the prolonged mechanical ventilation is 37.5%. The most common complications were pulmonary collapse (39.5%), followed by ventilatorassociated pneumonia (27.1%), also cardiac arrest complications (10.4%) and pneumothorax (4.2%). The risk of death increases 13 times when patients stayed > 46 days at PICU, mechanical ventilation lasts > 43 days. In conclusion, the neuromuscular disease in children with serious illnesses at PICU has a difficult treatment with high mortality.