How Much Does Thrombocytopenia Affect the Predictive Risk of Mortality Score (Prism Ⅲ) in Critically-ill Children?
Background: The main goal of the pediatric intensive care unit (PICU) is to reduce mortality. PRISM is one of the predictor models of mortality in patients admitted to the PICU. This study aimed to evaluate the effect of thrombocytopenia on the predicted death rate (PDR) in pediatrics admitted to th...
Main Authors: | , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Mashhad University of Medical Sciences
2023-01-01
|
Series: | International Journal of Pediatrics |
Subjects: | |
Online Access: | https://ijp.mums.ac.ir/article_21592_699be688ce0bf50e3eb525010d4f1261.pdf |
_version_ | 1797944817169203200 |
---|---|
author | Somayeh Mohammadpour Gholamreza Khademi Maryam Naseri Majid Khadem Rezaeian Majid Sezavar |
author_facet | Somayeh Mohammadpour Gholamreza Khademi Maryam Naseri Majid Khadem Rezaeian Majid Sezavar |
author_sort | Somayeh Mohammadpour |
collection | DOAJ |
description | Background: The main goal of the pediatric intensive care unit (PICU) is to reduce mortality. PRISM is one of the predictor models of mortality in patients admitted to the PICU. This study aimed to evaluate the effect of thrombocytopenia on the predicted death rate (PDR) in pediatrics admitted to the PICU, by the PRISM scoring system.Methods: This cross-sectional study was performed on patients admitted to the PICU of Akbar Hospital, Mashhad, Iran, from March 2019 to March 2020. Based on the information collected during the first 4 h of patient admission to the PICU, the PRISM score was calculated by the PRISM online calculator. The percentage of PDR calculated for each patient indicated the possibility of patient mortality. Statistical analysis was carried out using SPSS software (Version 25, SPSS Inc., Chicago, IL, USA) at the significant level of α=0.05.Results: The results of the data analysis demonstrated that along with increasing the severity of thrombocytopenia, an increase in the average PDR was observed. Furthermore, the findings revealed a significant correlation between the average PDR and the death of patients.Conclusions: It can be concluded that the effect of thrombocytopenia on mortality is greater than that considered in the PRISM scoring system. |
first_indexed | 2024-04-10T20:45:38Z |
format | Article |
id | doaj.art-30c04b4c0b8649ba80be4f320382cfc8 |
institution | Directory Open Access Journal |
issn | 2345-5047 2345-5055 |
language | English |
last_indexed | 2024-04-10T20:45:38Z |
publishDate | 2023-01-01 |
publisher | Mashhad University of Medical Sciences |
record_format | Article |
series | International Journal of Pediatrics |
spelling | doaj.art-30c04b4c0b8649ba80be4f320382cfc82023-01-24T08:03:55ZengMashhad University of Medical SciencesInternational Journal of Pediatrics2345-50472345-50552023-01-01111172791728510.22038/ijp.2022.68906.510621592How Much Does Thrombocytopenia Affect the Predictive Risk of Mortality Score (Prism Ⅲ) in Critically-ill Children?Somayeh Mohammadpour0Gholamreza Khademi1Maryam Naseri2Majid Khadem Rezaeian3Majid Sezavar4Student research committee, Mashhad University of Medical Sciences, Mashhad, Iran-Neonatal Research Center, Mashhad University of Medical Sciences, Mashhad, Iran. -Clinical Research Development Unit of Akbar Hospital, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.Department of Pediatrics, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, IranDepartment of community medicine and public health, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, IranDepartment of pediatrics, Mashhad university of medical sciences,mahshhad,iranBackground: The main goal of the pediatric intensive care unit (PICU) is to reduce mortality. PRISM is one of the predictor models of mortality in patients admitted to the PICU. This study aimed to evaluate the effect of thrombocytopenia on the predicted death rate (PDR) in pediatrics admitted to the PICU, by the PRISM scoring system.Methods: This cross-sectional study was performed on patients admitted to the PICU of Akbar Hospital, Mashhad, Iran, from March 2019 to March 2020. Based on the information collected during the first 4 h of patient admission to the PICU, the PRISM score was calculated by the PRISM online calculator. The percentage of PDR calculated for each patient indicated the possibility of patient mortality. Statistical analysis was carried out using SPSS software (Version 25, SPSS Inc., Chicago, IL, USA) at the significant level of α=0.05.Results: The results of the data analysis demonstrated that along with increasing the severity of thrombocytopenia, an increase in the average PDR was observed. Furthermore, the findings revealed a significant correlation between the average PDR and the death of patients.Conclusions: It can be concluded that the effect of thrombocytopenia on mortality is greater than that considered in the PRISM scoring system.https://ijp.mums.ac.ir/article_21592_699be688ce0bf50e3eb525010d4f1261.pdfintensive care unitmortalityprismpediatric scoring system |
spellingShingle | Somayeh Mohammadpour Gholamreza Khademi Maryam Naseri Majid Khadem Rezaeian Majid Sezavar How Much Does Thrombocytopenia Affect the Predictive Risk of Mortality Score (Prism Ⅲ) in Critically-ill Children? International Journal of Pediatrics intensive care unit mortality prism pediatric scoring system |
title | How Much Does Thrombocytopenia Affect the Predictive Risk of Mortality Score (Prism Ⅲ) in Critically-ill Children? |
title_full | How Much Does Thrombocytopenia Affect the Predictive Risk of Mortality Score (Prism Ⅲ) in Critically-ill Children? |
title_fullStr | How Much Does Thrombocytopenia Affect the Predictive Risk of Mortality Score (Prism Ⅲ) in Critically-ill Children? |
title_full_unstemmed | How Much Does Thrombocytopenia Affect the Predictive Risk of Mortality Score (Prism Ⅲ) in Critically-ill Children? |
title_short | How Much Does Thrombocytopenia Affect the Predictive Risk of Mortality Score (Prism Ⅲ) in Critically-ill Children? |
title_sort | how much does thrombocytopenia affect the predictive risk of mortality score prism iii in critically ill children |
topic | intensive care unit mortality prism pediatric scoring system |
url | https://ijp.mums.ac.ir/article_21592_699be688ce0bf50e3eb525010d4f1261.pdf |
work_keys_str_mv | AT somayehmohammadpour howmuchdoesthrombocytopeniaaffectthepredictiveriskofmortalityscoreprismiiiincriticallyillchildren AT gholamrezakhademi howmuchdoesthrombocytopeniaaffectthepredictiveriskofmortalityscoreprismiiiincriticallyillchildren AT maryamnaseri howmuchdoesthrombocytopeniaaffectthepredictiveriskofmortalityscoreprismiiiincriticallyillchildren AT majidkhademrezaeian howmuchdoesthrombocytopeniaaffectthepredictiveriskofmortalityscoreprismiiiincriticallyillchildren AT majidsezavar howmuchdoesthrombocytopeniaaffectthepredictiveriskofmortalityscoreprismiiiincriticallyillchildren |