VALIDITY OF PRISM III SCORES AS A PREDICTIVE TOOL FOR MORTALITY IN PICU IN PUNJAB
Bhatia R C*, Singh D**, Gautam A***, Pooni P A****, Shimar TS *****
DMC & H, Ludhiana-141001, India *, DMC & H, Ludhiana-141001, India **, DMC & H, Ludhiana-141001, India ***, DMC & H, Ludhiana-141001, India ****, DMC & H, Ludhiana-141001, India *****
Objective
Validity of PRISM-III score in predicting mortality in PICU.
Design
Prospective study over one year.
Setting
Four-bedded PICU of a tertiary hospital.
Methods
109 prospective sick admissions in PICU (1 month - 15 years) analyzed and PRISM-III (12 and 24) score calculated and outcome recorded as survived, death, left against medical advice (LAMA).
Results
Majority of the patients (n = 51, 46.8%) were infants (mean age was 2.89 years, Male:Female ratio was 3:1. Duration of stay was 9.09 - 6.38 days. Total 27 patients died. 16 LAMA were excluded from the analysis. A score of 1-9 was found in 53 patients at PRISM 12 and 20.75% of these expired. Among children who had a score of 10-19, 30.8% (n = 8) died. There were 7 children each with a score between 20-29 and 30 and the mortality was 42.8% (n = 3) and 71.4% (n = 5), respectively. The risk of mortality was significantly high with higher scores (p <0.05). The area under the ROC curve was 70%, which validates the PRISM-III score in predicting morality. No correlation was found between age/sex to the outcome of PICU. Overall mortality of 24.77% can be attributed to late presentation and delay in PICU admission.
Conclusion
PRISM-III score can effectively predict mortality in PICU in Indian setting.
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C R B, D S, A G, A P P, TS S.. Available From : http://www.pediatriconcall.com/fordoctor/ Conference_abstracts/report.aspx?reportid=315
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