J Pediatr Intensive Care 2020; 09(02): 092-098
DOI: 10.1055/s-0039-3400962
Original Article
Georg Thieme Verlag KG Stuttgart · New York

Predicting Outcome in Mechanically Ventilated Pediatric Patients

1   Pediatric Intensive Care Unit, İhsan Doğramacı Children's Hospital, Hacettepe University, Ankara, Turkey
,
Şenay Kenç
2   Department of Pediatric Gastroenterology, İnönü University, Malatya, Turkey
,
3   Pediatric Intensive Care Unit, Kocaeli University, Kocaeli, Turkey
,
Benan Bayrakci
1   Pediatric Intensive Care Unit, İhsan Doğramacı Children's Hospital, Hacettepe University, Ankara, Turkey
› Author Affiliations
Funding None.
Further Information

Publication History

19 August 2019

29 October 2019

Publication Date:
03 December 2019 (online)

Abstract

To apply and determine whether standardized mortality scores are appropriate to predict the risk of mortality in mechanically ventilated pediatric patients, 150 patients were retrospectively evaluated. Pediatric risk of mortality (PRISM) III-24 and pediatric index of mortality (PIM)-2 scores were unable to discriminate survivors and nonsurvivors; the observed mortality rate was lower than expected mortality rates. Oxygenation index (OI) was calculated at 0, 12, 24, and 72 hours of ventilation. OI-12 and OI-72 were found to be higher in nonsurvivors. PRISM III-24 and PIM-2 scores failed to predict mortality risk in mechanically ventilated pediatric patients. OI can be used to predict degree of respiratory failure and mortality risk.