Association of Serum Ferritin Levels with Phoenix Score, Length of Stay and Mortality in Children with Sepsis at Dr. M Djamil Hospital Padang

Sepsis is a systemic response that can lead to organ dysfunction and death in children. Several studies have shown that ferritin can indicate patient prognosis. This study aims to analyze the relationship between serum ferritin levels length of stay, phoenix score, and mortality in children with sepsis at Dr. M. Djamil Padang Hospital. The research utilized a cross-sectional analysis design conducted in the PICU of M Djamil Hospital Padang from May to November 2024. The subjects of the study were children aged 1 month to 18 years with sepsis who were treated in the PICU. The subject underwent an assessment of age, gender, nutritional status, primary disease diagnosis, ferritin levels, and monitoring of mortality, phoenix score, and length of stay. The number of research subjects is 40 subjects. The subject characteristics indicated that the majority were under one year old (42,5%), female (57,5%. Approximately 52.7% of subjects were treated for 7 days or less. The median ferritin value in the deceased group was higher (331.6) compared to the survivors, although this difference was not statistically significant (P=0.876). Statistical analysis revealed no correlation between serum ferritin levels and Phoenix score (R=-0.056, p=0.73). Also, no correlation was found between serum ferritin levels and length of stay (R=-0.398, p=0.072). Serum ferritin levels do not significantly predict phoenix scores, length of stay, or mortality; however, the median serum ferritin level in those who died was higher than in those who survived among children with sepsis.