Comparison between mortality scoring systems in pediatric intensive care unit reliability and effectiveness

Authors : Hatice Feray Arı, Salim Reşitoğlu, Mehmet Akif Tuncel, Mahmut Can Şerbetçi

Pages : 664-673

Doi:10.31362/patd.1479595

View : 86 | Download : 141

Publication Date : 2024-10-09

Article Type : Research Paper

Abstract :Purpose: In pediatric intensive care unit (PICU), high mortality risk is a significant issue. Risk adjustment tools are in place for early estimation of mortality risk. Pediatric Risk of Mortality (PRISM), Pediatric Index of Mortality (PIM), Pediatric Logistic Organ Dysfunction (PELOD) and Pediatric Sequential Organ Failure Assessment (PSOFA) are commonly used. The aim of this study was to evaluate the predictive performance of mortality using PRISM III, PIM3, PELOD-2, and PSOFA. Materials and methods: This retrospective single-center study analysed patients aged between 1 month-18 years who were treated in PICU for various diseases between April and December 2021. Their electronic records were retrospectively examined for demographic characteristics, medical and clinical expectations, and morbidity/mortality. Results: The study included 300 patients with a hospitalization period of 56.73±105.95 days. At the end of the study, 56 (18.7%) patients had died. All scoring systems and mortality correlations were statistically significant (p<0.0001). The predictive success rates for mortality, ranked from best to worst, were PRISM III, PELOD-2, PSOFA, and PIM 3, respectively, in terms of sensitivity and specificity. Conclusion: The absence of any studies comparing these four mortality scoring systems adds to their importance for early recognition and rapid intervention in critically ill children. Based on our study, PRISM III data has been found to be more reliable in this heterogeneous population.
Keywords : Mortalite, pediatri, yoğun bakım, güvenilirlik, etkililik