Article Text

Download PDFPDF
Letter
Dystonia in paediatric intensive care: a retrospective prevalence study
  1. Rumsha Ahmed1,
  2. Ben Griffiths2,
  3. Daniel E Lumsden3
  1. 1Children’s Neurosciences, Evelina London Children’s Healthcare, London, UK
  2. 2Paediatric Intensive Care, Evelina London Children’s Healthcare, London, London, UK
  3. 3Paediatric Neurosciences, Guy’s and St Thomas' NHS Foundation Trust, London, UK
  1. Correspondence to Dr Daniel E Lumsden, Paediatric Neurosciences, Guy’s and St Thomas' NHS Foundation Trust, London SE1 7EH, UK; daniel.lumsden{at}gstt.nhs.uk

Statistics from Altmetric.com

Termed status dystonicus when most severe,1 dystonia is a disorder in which muscle contractions generate abnormal movements and/or postures.2 While it is recognised that severe dystonia may require intensive care management,1 there is a paucity of data addressing the prevalence of dystonia in paediatric intensive care units (PICUs). We therefore aimed to determine the incidence of dystonia as a contributor to the need for admission to PICU and/or as a factor complicating PICU admission at a single centre. To this effect, we performed a 10-year retrospective review of admissions to Evelina London Children’s Hospital (ELCH) PICU as well as interrogating the Paediatric Intensive Care Audit Network (PICANet) database3 for all UK centres to identify admissions caused by dystonia (see online supplementary material).

Supplementary data

[archdischild-2018-316421supp001.pdf]

There were 12 103 admissions to the ELCH PICU between September 2007 and September 2017, including 583 from patients with ICD-9 codes suggesting a diagnosis which may give rise to dystonia. Case note review confirmed dystonia in 369/583 (63%) admissions. The 369 admissions were experienced …

View Full Text

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.