Predicting Outcome in Mechanically Ventilated Pediatric Patients

Selman Kesici; Şenay Kenç; Ayşe Filiz Yetimakman; Benan Bayrakci

doi:10.1055/s-0039-3400962

Journal of Pediatric Intensive Care, Table of Contents

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

Authors

Selman Kesici

¹Pediatric Intensive Care Unit, İhsan Doğramacı Children's Hospital, Hacettepe University, Ankara, Turkey
Şenay Kenç

²Department of Pediatric Gastroenterology, İnönü University, Malatya, Turkey
Ayşe Filiz Yetimakman

³Pediatric Intensive Care Unit, Kocaeli University, Kocaeli, Turkey
Benan Bayrakci

¹Pediatric Intensive Care Unit, İhsan Doğramacı Children's Hospital, Hacettepe University, Ankara, Turkey

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.

Keywords

pediatric - mortality scores - mechanical ventilation - oxygenation index

Full Text

References

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