LABORATORY BLOOD TESTING IN PAEDIATRIC INTENSIVE CARE UNIT OF A UNIVERSITY HOSPITAL: ARE WE DOING IT APPROPRIATELY?

Authors

  • Hafsa Sohail Ziauddin Hospital Karachi
  • Shazia Bibi Aga Khan University Karachi
  • Mahnaz Hakeem Department of Pediatrics and Child Health, Aga Khan University
  • Anwar ul Haque The Indus Hospital
  • Qalab Abbas Aga Khan University

Abstract

Retrospective chart review of all children (aged-one month to 16yr) admitted in our paediatric intensive care from June to November 2016 was done to determine the indication of different laboratory tests. LBT indications were defined into: diagnostic/case findings/screening tests to make a diagnosis; haemostatic tests (to monitor function or identify before clinical signs and symptoms) and therapeutic /monitoring tests to get the level of drug directly or getting level of marker as a guide to therapy. Laboratory tests reports which were within normal range more than once were labelled as in-appropriate tests. In total 274 patients, Haemostatic tests were performed for mean of 35.18±56.72 times (range of 0–429), monitoring for mean of 9.38±20 times (range 0–165), and therapeutic tests (3.26±11.25). Most common tests included serum Sodium levels (7.83±12.73), Serum Potassium (8.19±12.80), bicarbonate (7.75±11.9). 13.40±9.11 tests were done on first day and 13.0±8.49/day tests were performed afterwards. Cumulatively 54.31±74.21 tests were performed/ patients out of which 18.5±37.82 were inappropriate.Keywords: Laboratory testing; PICU; Indications

Author Biographies

Hafsa Sohail, Ziauddin Hospital Karachi

Resident, Department of Pediatrics, Ziauddin Hospital Karachi

Shazia Bibi, Aga Khan University Karachi

Resident Pediatrics,Department of Pediatrics and Child Health, Aga Khan University Karachi

Mahnaz Hakeem, Department of Pediatrics and Child Health, Aga Khan University

Senior Medical Officer,Department of Pediatrics and Child Health, Aga Khan University

Anwar ul Haque, The Indus Hospital

Senior COnsultant, Department of Pediatrics, The Indus Hospital Karachi

Qalab Abbas, Aga Khan University

Assistant Professor, Department of Pediatrics and Child Health, Aga Khan University Karachi

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Published

2020-07-19

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