Prediction of mortality by application of PRISM score in intensive care unit.
Indian Pediatr
;
2001 Jul; 38(7): 714-9
Artigo
em Inglês
| IMSEAR
| ID: sea-13272
ABSTRACT
OBJECTIVE:
Prediction of mortality by application of Pediatric Risk of Mortality (PRISM) score in Pediatric Intensive Care Unit (PICU) patients under Indian circumstances.DESIGN:
Prospective study.SETTING:
PICU of a tertiary care multi-specialty hospital.METHODS:
100 sick pediatric patients admitted consecutively in PICU were taken for this study. PRISM score was calculated. Hospital outcome was recorded as (died/survived). The predicted death was calculated by the formulaRESULTS:
Of 100 patients, 18 died and 82 survived. By PRISM score 49 children had the score of 1-9. The expected death in this group was 10.3% (n = 5.03) and the observed death was 8.2% (n = 4). Among 45 children with the score of 10-19, the expected mortality was 21.2% (n = 9.6) and observed was 24.4% (n = 11). There were 3 patients with the score of 20-29, the expected mortality in this group was 39.3% (n = 1.18) and observed mortality 33.3% (n = 1). There were 3 patients with score > or = 30, observed death 66.3% (n = 2) and expected mortality was 74.7% (n = 2.24). There was no significant difference between expected and observed mortality in any group. (p > 0.5). ROC analysis showed area under the curve of 72%.CONCLUSION:
PRISM score has good predictive value in assessing the probability of mortality in relation to children admitted to a PICU under Indian circumstances.
Texto completo:
DisponíveL
Índice:
IMSEAR (Sudeste Asiático)
Assunto principal:
Índice de Gravidade de Doença
/
Feminino
/
Humanos
/
Masculino
/
Unidades de Terapia Intensiva Pediátrica
/
Análise de Sobrevida
/
Pré-Escolar
/
Risco
/
Valor Preditivo dos Testes
/
Causas de Morte
Tipo de estudo:
Estudo de etiologia
/
Estudo observacional
/
Estudo prognóstico
/
Fatores de risco
País/Região como assunto:
Ásia
Idioma:
Inglês
Revista:
Indian Pediatr
Ano de publicação:
2001
Tipo de documento:
Artigo
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