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Ventilatory therapy time and period of increased CRP were individually risk elements associated with DD. Clients in the DD group had longer PICU amount of stay, higher rate of weaning or extubation failure and greater death. DD is involving poorer medical results in critically sick childern, which include a longer PICU period of stay, high rate of weaning or extubation failure and a greater death. The ventilatory treatment time and duration of elevated CRP are main risk facets of DD in critically ill kids. E