Accuracy Of Pediatric Risk Of Mortality (PRISM III) Score In Predicting Mortality Risk Among Children Admitted In Pediatric Intensive Care Unit
Objective: To assess the accuracy of pediatric risk of mortality score in predicting mortality risk among children admitted in the pediatric intensive care unit. Methods: It is a descriptive cohort study conducted at PICU. It was conducted over six months from December 2022 to June 2022. All pati...
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| Format: | Article |
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KARACHI MEDICAL AND DENTAL COLLEGE
2023-12-01
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| Series: | Annals of Abbasi Shaheed Hospital and Karachi Medical & Dental College |
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| Online Access: | https://annals-ashkmdc.org/index.php/ashkmdc/article/view/711 |
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| author | Huma Muzzammil Muhammad Rafique Yousuf Yahya Waseem Jamalvi Seema Aftab Noor-un-Nisa Masqati |
| author_facet | Huma Muzzammil Muhammad Rafique Yousuf Yahya Waseem Jamalvi Seema Aftab Noor-un-Nisa Masqati |
| author_sort | Huma Muzzammil |
| collection | DOAJ |
| description |
Objective: To assess the accuracy of pediatric risk of mortality score in predicting mortality risk among children admitted in the pediatric intensive care unit.
Methods: It is a descriptive cohort study conducted at PICU. It was conducted over six months from December 2022 to June 2022. All patients admitted in PICU with critical illness having age 1 month to 12 years of either gender was consecutively enrolled. Patients were classified in 3 groups accord ing to the PRISM scores 1-10 (low risk), 11-20 (moderate risk), and 21-30 (high risk) was also done. The accuracy of PRISM III score was defined based on the presence of moderate or high risk of mortality at the time of hospitalization in the PICU among patients who died within 14 days. Data was analyzed on SPSS version 24.
Results: Of 135 patients, the mean age of the patients was 2.65 ±2.14 years. There were 90 (66.6%) with d”3 years of age while 45 (33.3%) with >3 years of age. Low PRISM risk score was observed in 65 (48.1%), moderate in 64 (47.4%), and high in 6 (4%) patients. Mortality was observed in 28 (20.7%) patients. The sensitivity of the PRISM score is found to be 94.8%, the specificity is 62.8%, and positive predictive value of 33.9%, negative predictive value was 95.9%. The accuracy of the PRISM score is found to be 65.57%.
Conclusion: PRISM III is a reliable score in predicting mortality risk among children admitted to the Pediatric intensive care unit.
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| first_indexed | 2024-03-08T16:49:29Z |
| format | Article |
| id | doaj.art-d60333a1065a4de4ba888d60cf90f077 |
| institution | Directory Open Access Journal |
| issn | 1563-3241 |
| language | English |
| last_indexed | 2024-03-08T16:49:29Z |
| publishDate | 2023-12-01 |
| publisher | KARACHI MEDICAL AND DENTAL COLLEGE |
| record_format | Article |
| series | Annals of Abbasi Shaheed Hospital and Karachi Medical & Dental College |
| spelling | doaj.art-d60333a1065a4de4ba888d60cf90f0772024-01-05T05:18:30ZengKARACHI MEDICAL AND DENTAL COLLEGEAnnals of Abbasi Shaheed Hospital and Karachi Medical & Dental College1563-32412023-12-012804Accuracy Of Pediatric Risk Of Mortality (PRISM III) Score In Predicting Mortality Risk Among Children Admitted In Pediatric Intensive Care UnitHuma Muzzammil0Muhammad Rafique1Yousuf Yahya2Waseem Jamalvi3Seema Aftab4Noor-un-Nisa Masqati5Department of Pediatrics, Dow University of Health SciencesDepartment of Pediatrics, Dow University of Health SciencesDepartment of Pediatrics, Dow University of Health SciencesDepartment of Pediatrics, Dow University of Health SciencesDepartment of Pediatrics, Dow University of Health SciencesDepartment of Pediatrics, Dow University of Health Sciences Objective: To assess the accuracy of pediatric risk of mortality score in predicting mortality risk among children admitted in the pediatric intensive care unit. Methods: It is a descriptive cohort study conducted at PICU. It was conducted over six months from December 2022 to June 2022. All patients admitted in PICU with critical illness having age 1 month to 12 years of either gender was consecutively enrolled. Patients were classified in 3 groups accord ing to the PRISM scores 1-10 (low risk), 11-20 (moderate risk), and 21-30 (high risk) was also done. The accuracy of PRISM III score was defined based on the presence of moderate or high risk of mortality at the time of hospitalization in the PICU among patients who died within 14 days. Data was analyzed on SPSS version 24. Results: Of 135 patients, the mean age of the patients was 2.65 ±2.14 years. There were 90 (66.6%) with d”3 years of age while 45 (33.3%) with >3 years of age. Low PRISM risk score was observed in 65 (48.1%), moderate in 64 (47.4%), and high in 6 (4%) patients. Mortality was observed in 28 (20.7%) patients. The sensitivity of the PRISM score is found to be 94.8%, the specificity is 62.8%, and positive predictive value of 33.9%, negative predictive value was 95.9%. The accuracy of the PRISM score is found to be 65.57%. Conclusion: PRISM III is a reliable score in predicting mortality risk among children admitted to the Pediatric intensive care unit. https://annals-ashkmdc.org/index.php/ashkmdc/article/view/711PRISM IIIPediatric MortalityPediatric ICU |
| spellingShingle | Huma Muzzammil Muhammad Rafique Yousuf Yahya Waseem Jamalvi Seema Aftab Noor-un-Nisa Masqati Accuracy Of Pediatric Risk Of Mortality (PRISM III) Score In Predicting Mortality Risk Among Children Admitted In Pediatric Intensive Care Unit Annals of Abbasi Shaheed Hospital and Karachi Medical & Dental College PRISM III Pediatric Mortality Pediatric ICU |
| title | Accuracy Of Pediatric Risk Of Mortality (PRISM III) Score In Predicting Mortality Risk Among Children Admitted In Pediatric Intensive Care Unit |
| title_full | Accuracy Of Pediatric Risk Of Mortality (PRISM III) Score In Predicting Mortality Risk Among Children Admitted In Pediatric Intensive Care Unit |
| title_fullStr | Accuracy Of Pediatric Risk Of Mortality (PRISM III) Score In Predicting Mortality Risk Among Children Admitted In Pediatric Intensive Care Unit |
| title_full_unstemmed | Accuracy Of Pediatric Risk Of Mortality (PRISM III) Score In Predicting Mortality Risk Among Children Admitted In Pediatric Intensive Care Unit |
| title_short | Accuracy Of Pediatric Risk Of Mortality (PRISM III) Score In Predicting Mortality Risk Among Children Admitted In Pediatric Intensive Care Unit |
| title_sort | accuracy of pediatric risk of mortality prism iii score in predicting mortality risk among children admitted in pediatric intensive care unit |
| topic | PRISM III Pediatric Mortality Pediatric ICU |
| url | https://annals-ashkmdc.org/index.php/ashkmdc/article/view/711 |
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