Clinical Patterns of PICU Admissions in a Large Government Teaching Hospital and the Utility of PRISM III Score in Predicting Outcomes
European Journal of Molecular & Clinical Medicine,
2022, Volume 9, Issue 7, Pages 1892-1902
AbstractBackground: PRISMIII score was shown to be effective in predicting the risk of mortality and as well as the factors contributing to poor outcome. Therefore, we have evaluated our PICU using modified PRISMIII results. Martial and Methods: A Prospective observational study was conducted on 120 seriously ill infants and children meeting the inclusion and exclusion criteria admitted to PICU were taken up for the study at the Department of Paediatrics, Mahatma Gandhi Memorial Hospital, KMC Warangal, Telangana, South India. Results: Mean age among survivors was 57.16±49.35 months and among deceased were 34.8±43.4 months. Male to female ratio was 1.06:1.00. Our PICU is catered to the medical critical illness only. The overall mortality rate is 57.5%. The major causes of illness in the order of decadence were, infections, Respiratory, CNS, CVS and GIT disorders Altered sensorium, multiorgan dysfunction and need for mechanical ventilation were significant risk factors of mortality. The duration of hospital stay among non-survivors was less than the survivors. Conclusion: The mean PRISMIII score among non-survivors was higher than survivors. PRISMIII score at 24hrs, PRISMIII difference, length of hospital stay, showed a statistically significant correlation with the mortality (p=0.000). The probability of deaths increased significantly with increase in PRISM score. Area under ROC is 99.9%, with cut-off point at score 15.
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