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 *****
Validity of PRISM-III score in predicting mortality in PICU.
|Prospective study over one year. |
|Four-bedded PICU of a tertiary hospital. |
|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).
|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.
|PRISM-III score can effectively predict mortality in PICU in Indian setting. |
|How to Cite URL :|
|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|