RELIABILITY OF PEDIATRIC RISK OF MORTALITY III (PRISM III) AND PEDIATRIC INDEX OF MORTALITY 3 (PIM3) SCORES IN THE PEDIATRIC INTENSIVE CARE UNIT OF EL-HUSSEIN UNIVERSITY HOSPITAL

Document Type : Original Article

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Abstract

Introduction: Mortality rate in Pediatric Intensive Care Units (PICU) depends on the severity of illness and can be assessed by scoring systems. Pediatric Risk of Mortality III (PRISM III) and Pediatric Index of Mortality 3 (PIM3) are scores used to assess mortality risk among infants and children admitted in the PICU.
Setting: tertiary care unit PICU at El-Hussein University Hospital, Faculty of Medicine, Al-Azhar University, Cairo, Egypt. Design: Thesis, prospective descriptive study.
Objectives: To compare the accuracy of the PRISM III and the PIM 3 scores among children admitted to PICU.
Patients and Methods: All children admitted to the PICU during the period from December 2015 till December 2016, total 100 patients were studied. We excluded patients who stayed less than 12 hour in the PICU and patients who died within 12 hours after discharge.
Measurements and Main Results: Of 100 patients, death ratio was 17 %, the discriminatory performance AUR was 0.987 for PRISM III (CI 95%, 0.968-1.000) and 0.973 (CI 95%, 0.877-0.998) for PIM 3. For calibration PRISM III (Chi-square= 27.25, p = 0.0001) and PIM 3 (Chi-square =20.54, p > 0.0001). Sensitivity for PRISM III (95.12%) and for PIM 3 (82.35%). Specificity for PRISM III (95.18%) and for PIM 3 (97.56%). There were significant correlations between the risk of mortality and both PRISM III and PIM3.
Conclusion: Both scores showed excellent overall discrimination. PRISM III showed more discrimination and both scores showed poor calibration under Egyptian circumstances.
 
 
EPIDEMIOLOGICAL & BACTERIOLOGICAL COMPARATIVE STUDY OF NEONATAL SEPSIS IN AL AZHAR UNIVERSITY HOSPITALS AND MAIN SHAREYANOENATAL INTENSIVE CARE UNITS

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