Extrapolation of Pediatric Mortality using PRISM III in a Secondary Referral Healthcare Setting in India
DOI:
https://doi.org/10.37285/ijpsn.2022.15.4.7Abstract
With the advent of new life-sustaining treatments that need a tremendous number of resources, paediatric intensivists will be faced with increasingly complex and tough difficulties. The current study was performed to assess pediatric mortality using the pediatric risk of mortality (PRISM III-24). Patients of both genders admitted to the paediatric intensive care unit PICU between the ages of one month and eighteen years during the study period were included, while patients under one month of age with a PICU admission of fewer than two hours and multiple congenital abnormalities, as well as those discharged against medical advice, were excluded. Out of 94 patients, males (53.2%) were more than females, respiratory system disease was the major indication for admission, and the mortality assessed using PRISM III was 6.38%. The study observed a link between improved PICU quality of care and lower mortality rates, as well as a lower PRISM III score.
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Clinical scoring systems, mortality, pediatric intensive care unit, PRISM III score
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Bhatia RC, Singh D, Gautam A, Pooni PA, Shimar TS (2006). NCPCC 2005 - Conference Abstracts. Pediatric Oncall 5:3.
Bilan N, Galehgolab BA, Emadaddin A, Shiva SH (2009). Risk of mortality in pediatric intensive care unit, assessed by PRISM-III. Pak J Biol Sci 12:480-485.
Brady AR, Harrison D, Black S (2006). Assessment and optimization of mortality prediction tools for admissions to pediatric intensive care in the United Kingdom. Pediatrics 117:e733-e742.
Castello FV, Cassano A, Gregory P, Hammond J (1999). The Pediatric Risk of Mortality (PRISM) Score and Injury Severity Score (ISS) for predicting resource utilization and outcome of intensive care in pediatric trauma. Crit Care Med 27:985-8.
Choi KM, Ng DK, Wong SF (2005). Assessment of the Pediatric Index of Mortality (PIM) and the Pediatric Risk of Mortality (PRISM) III score for prediction of mortality in a paediatric intensive care unit in Hong Kong. Hong Kong Med J 11:97-103.
De León AL, Romero-Gutiérrez G, Valenzuela CA, González-Bravo FE (2005). Simplified PRISM III score and outcome in the pediatric intensive care unit. Pediatr Int 47:80-3.
Gemke RJ, and Van Vught J (2002). Scoring systems in pediatric intensive care: PRISM III versus PIM. Intensive Care Med 28:204-207.
Gemke RJ, Bonsel GJ, van Vught AJ (1994). Effectiveness and efficiency of a Dutch pediatric intensive care unit: validity and application of the pediatric risk of mortality score. Crit Care Med 22:1477-84.
Harilal Naik ML, Shrikant SW, Sharanagouda P, Sharan D (2014). Mortality Risk Assessment in PICU Using Prism-III-24 Score. Journal of Evolution of Medical and Dental Sciences 3:13572-13578.
Kapil D and Bagga A (1993). The profile and outcome of patients admitted to a pediatric intensive care unit. Indian J Pediatr 60: 5-10.
Khajeh A, Noori NM, Reisi M, Fayyazi A, Mohammadi M, Miri-Aliabad G (2013). Mortality risk prediction by application of pediatric risk of mortality scoring system in pediatric intensive care unit. Iran J Pediatr 23:546-550.
Khilnani P, Sarma D, Singh R, Uttam R, Rajdev S, Makkar A, Kaur J (2004). Demographic profile and outcome analysis of a tertiary level pediatric intensive care unit. Indian J Pediatr 71:587-91.
Lodha R, Kabra SK, Pandey RM (2001). Acute respiratory distress syndrome: experience at a tertiary care hospital. Indian Pediatr 38:1154-9
Martha VF, Garcia PC, Piva JP, Einloft PR, Bruno F, Rampon V (2005). Comparison of two prognostic scores (PRISM and PIM) at a pediatric intensive care unit. J. Pediatr. (Rio J.) 81:259-264.
Mehta SJ, Kulkarni R, Valvi C, Khadse S (2016). PRISM III score as a mortality predictor in a pediatric intensive care unit of a tertiary care hospital. Journal of Pediatric Critical Care 3:16-19.
Pollack MM, Holubkov R, Funai T, Berger JT, Clark AE, Meert K, Berg RA, Carcillo J, Wessel DL, Moler F, Dalton H, Newth CJ, Shanley T, Harrison RE, Doctor A, Jenkins TL, Tamburro R, Dean JM (2015). Eunice Kennedy Shriver National Institute of Child Health and Human Development Collaborative Pediatric Critical Care Research Network. Simultaneous Prediction of New Morbidity, Mortality, and Survival Without New Morbidity from Pediatric Intensive Care: A New Paradigm for Outcomes Assessment. Crit Care Med 43:1699-709.
Pollack MM, Dean JM, Butler J, Holubkov R, Doctor A, Meert KL, Newth CJ, Berg RA, Moler F, Dalton H, Wessel DL, Berger J, Harrison RE, Carcillo JA, Shanley TP, Nicholson CE (2013). The ideal time interval for critical care severity-of-illness assessment. Pediatr Crit Care Med 14:448-53.
Pollack MM, Patel KM, Ruttimann UE (1997). The Pediatric Risk of Mortality III--Acute Physiology Score (PRISM III-APS): a method of assessing physiologic instability for pediatric intensive care unit patients. J Pediatr 131:575-581.
Pollack MM, Patel KM, Ruttimann UE (1996). PRISM III: an updated Pediatric Risk of Mortality score. Crit Care Med 24:743-752.
Qiu J, Lu X, Wang K, Zhu Y, Zuo C, Xiao Z (2017). Comparison of the pediatric risk of mortality, pediatric index of mortality, and pediatric index of mortality 2 models in a pediatric intensive care unit in China: A validation study. Medicine (Baltimore) 96:e6431.
Qureshi AU, Ali AS, Ahmad TM (2007). Comparison of three prognostic scores (PRISM, PELOD and PIM 2) at pediatric intensive care unit under Pakistani circumstances. J Ayub Med Coll Abbottabad 19:49-53.
Singhal D, Kumar N, Puliyel JM, Singh SK, Srinivas V (2001). Prediction of mortality by application of PRISM score in intensive care unit. Indian Pediatr 38:714-9.
Tan GH, Tan TH, Goh DYT, Yap HK (1998). Risk factors for predicting mortality in a pediatrics intensive care unit. Ann Acad Med Singapore 27:813-818.
Taori RN, Lahiri KR, Tullu MS (2010). Performance of PRISM (Pediatric Risk of Mortality) score and PIM (Pediatric Index of Mortality) score in a tertiary care pediatric ICU. Indian J Pediatr 77:267-71.
Tilford JM, Robertson PK, Lensing S, Fiser DH (2000). Improvement in Pediatric Critical Care Outcomes. Critical Care Medicine 28: 601-602.
Tilford JM, Simpson PM, Green JW, Lensing S, Fiser DH (2000). Volume-outcome relationships in pediatric intensive care units. Pediatrics 106: 289-94.
Tyagi P, Tullu MS, Agrawal M (2018). Comparison of Pediatric Risk of Mortality III, Pediatric Index of Mortality 2, and Pediatric Index of Mortality 3 in Predicting Mortality in a Pediatric Intensive Care Unit. J Pediatr Intensive Care 7:201-206.
Varma A, Damke S, Meshram R, Vagha J, Kher A, Vagha K (2017). Prediction of mortality by pediatric risk of mortality (PRISM III) score in tertiary care rural hospital in India. Int J Contemp Pediatr 4:322-327.
Vineet, P and Anjani, K (2018). Validation of PRISM III (Pediatric Risk of Mortality) Scoring System in Predicting Risk of Mortality in a Pediatric Intensive Care Unit. IOSR Journal of Dental and Medical Sciences 17:81-87.
