Comparison of Severity Scoring Systems in a Pediatric Intensive Care Unit in India: A Single-Center Prospective, Observational Cohort Study

Vinayak K. Patki; Sandeep Raina; Jennifer V. Antin

doi:10.1055/s-0036-1584811

Journal of Pediatric Intensive Care, Inhaltsverzeichnis

J Pediatr Intensive Care 2017; 06(02): 098-102
DOI: 10.1055/s-0036-1584811

Original Article

Georg Thieme Verlag KG Stuttgart · New York

Comparison of Severity Scoring Systems in a Pediatric Intensive Care Unit in India: A Single-Center Prospective, Observational Cohort Study

Autor*innen

Vinayak K. Patki

¹Department of Pediatrics, Institute of Medical Science & Research, Vidyagiri, Satara, Maharashtra, India
Sandeep Raina

²Department of Pediatrics, Wanless Hospital, Miraj, Sangli, Maharashtra, India
Jennifer V. Antin

²Department of Pediatrics, Wanless Hospital, Miraj, Sangli, Maharashtra, India

Abstract

Objective The aim of this study is to validate Pediatric Risk of Mortality (PRISM) and Pediatric Index of Mortality (PIM) scoring systems in a pediatric intensive care unit (PICU) in India.

Design This is a single-center prospective cohort study.

Setting This study was conducted at an eight-bed PICU.

Methods PRISM- and PIM-based predicted mortality rates were calculated and compared in 120 pediatric patients.

Results Estimated mortality using PRISM (5.68%) and PIM (8.84%) was lower than observed (21.7%) mortality. PIM had slightly better power of calibration than PRISM. The discriminatory performance of both models was comparable.

Conclusion Both models can be validated with suitable changes according to PICU settings of India.

Keywords

PRISM - PIM - PICU - critically ill children

Volltext

Referenzen

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