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

Vinayak K. Patki
1   Department of Pediatrics, Institute of Medical Science & Research, Vidyagiri, Satara, Maharashtra, India
Sandeep Raina
2   Department of Pediatrics, Wanless Hospital, Miraj, Sangli, Maharashtra, India
Jennifer V. Antin
2   Department of Pediatrics, Wanless Hospital, Miraj, Sangli, Maharashtra, India
› Author Affiliations
Further Information

Publication History

12 September 2015

25 February 2016

Publication Date:
29 June 2016 (online)


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.

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