Page 167 - Abstract Book KONIKA 18

Emergency & Pediatric Intensive Care

P-EPIC-013
Epidemiology Characteristic of Pediatric Emergency Department Visits
during the COVID-19 Pandemic in Hasan Sadikin General Hospital

Ratna Sunhaya, Dzulfikar D. L H , Fina Meilyana Andriyani, Stanza Uga Peryoga, Dadang Hudaya
Department of Child Health, Faculty of Medicine, Hasan Sadikin General Hospital,
Universitas Padjadjaran, Bandung, West Java, Indonesia

Abstract
Background The Coronavirus Disease 2019 (COVID-19) pandemic was given impact on pediatric emergency
department (ED) visits, such as worried about getting infected COVID19, included at limited resources country
and and not well characterized. Objective To describe the pediatric emergency department visits changed
during the COVID-19 pandemic. Methods We conducted retrospective observational study of children who
attended to Pediatric ED Hasan Sadikin General Hospital (RSHS) from January–December 2020, compared
the same period of the previous year. We calculated of Non COVID-19 ED visits for children (age under 18
years) by age range. Data were analized with t-test. Outcomes were pediatric ED visit rates before and after
the onset of pandemic, based on age, disposition, and diagnosis. Results Pediatric ED visit rates decreased
by 33,24 % during the pandemic (2149 ED visits over 2019 vs 1434 ED visits in 2020), especially in groups
aged 1-4 years (28,65%). The largest decrease occurred among visits for respiratory disorders (74.2%). We
paired these two groups with result the visits proportion for chronic condition children relative increase from
29.4% to 33.5% before and during pandemic era (P<0.001). There is no significant difference in gender.
Conclusion There is a significant decrease of pediatric ED visit during COVID-19 pandemic era especially
for younger children. Declines were also seen for serious conditions, suggesting that parents may have
avoided care for their children during pandemic.
Keywords: pediatric emergency department visit; COVID-19 pandemic

P-EPIC-014
Association between Platelet Count and Mean Platelet Volume
with Outcomes of Sepsis Patient in PICU Dr. M. Djamil Hospital Padang

Revi Rilliani, Mayetti Akmal, Indra Ihsan
Department of Child Health, Faculty of Medicine Universitas Andalas/Dr. M. Djamil Hospital,
Padang, West Sumatera, Indonesia

Abstract
Background Thrombopoietic stress caused by sepsis increase platelet consumption and release of larger
immature platelet as compensatory response. Many studies showed significant changes of platelet count and
mean platelet volume (MPV) in sepsis and its correlation with mortality, but data in pediatric population
is scarce. Objective To evaluate platelet count and MPV associated with outcome in sepsis patients treated
at PICU of Dr. M. Djamil Hospital. Methods This is an analytic observational study with retrospective
cohort approach through medical record and laboratory data of sepsis patient treated from January until
July 2021 at PICU Dr. M. Djamil Hospital. Sepsis was diagnosed using Sepsis-3 Criteria or positive blood
culture. Outcomes of this study are median survival and mortality rate based on Δplatelet and ΔMPV.
Results Forty subjects were included in this study. Mortality rate was 50%. Platelet count and MPV differ a
3
t initial sepsis diagnosis and during first week of PICU hospitalization (median 271,000 vs. 207,000/mm ,
P=0.024 and median 9.9 vs. 10,3 fL, P<0.001, respectively). There was no difference between platelet count
and MPV of survivors and non-survivors (median 308,500 vs. 203,000/mm , P=0.208 and median 9.3 vs.
3
10.1 fL, P=0.103, respectively). Lower Δplatelet counts associated with higher mortality rate (52.6%) and
lower median survival (18 days) (HR 1.06 [95% CI 1.02 to 1.61, P<0.05]). Higher ΔMPV also associated
with higher mortality rate (55%) and lower median survival (21 days) (HR 1.79 [95% CI 1.33 to 1.91,
P<0.05]). Conclusion Lower Δplatelet count and higher ΔMPV are associated with increased risk of death
and lower median survival.
Keywords: sepsis; platelet; mean platelet volume

KONIKA XVIII Abstract Book 119