Clinical Accuracy of PRISM III Score in determining mortality in severely ill Pediatric patients in Pediatric ICU
DOI:
https://doi.org/10.51985/Keywords:
Mortality, PRISM III score, Pediatric ICUAbstract
Objective: To assess the accuracy of PRISM III score in predicating mortality in severely ill pediatric patients. Study Design and Settings: A cross sectional study was conducted in Pediatric ICU of BVH from 1st March 2021 to 28 Feb 2022.
Methodology: Patients were enrolled after informed consent as per inclusion and exclusion criteria. Clinical details and lab data were collected within 4 hours of admission to ICU and documented on performa. Outcome was followed. Results were analyzed in spss 20.
Results: Out of 34 patients 13 (38.2 %) were male and 21 (61.8 %) were females. Age ranges from 1 month to 14 years.
Regarding diagnosis maximum patients were of pneumonia and Pyomeningitis, that were 5 each this makes 14. 7% of study population for each diagnosis. PRISM score ranges from 0 to 14 with mean of 4.3 and median of 3. Out of them 21 (61.8 %) had PRISM score 3 or less and 13 (38.2 %) had 4 or more. PRISM III score has Sensitivity of 71.4 %, specificity of 70.3 %, Positive predictive value of 38.4 %, negative predictive value 90.4% and diagnostic accuracy of 20.5 %. Conclusion: PRISM III score has clinical accuracy of 20.5 % in determining prognosis in severely ill pediatric patients. Keyword Index: Mortality, PRISM III score, Pediatric ICU
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