Abstract Ref Number = APCP397
PEDIATRIC INDEX OF MORTALITY 2 AND PEDIATRIC RISK OF MORTALITY III MODELS AS MORTALITY PREDICTOR IN PEDIATRIC INTENSIVE CARE UNIT
Nengcy Rerung,Dwi Putri,Neurinda Kusumastuti,Arina Setyaningtyas,Ira Dharmawati,Abdul Latief
Department of Child Health Faculty of Medicine Universitas Airlangga Dr Soetomo Hospital Surabaya Indonesia
Background : Various prognostic scores are used to evaluate the outcome in the pediatric intensive care unit ( PICU ). Among these scores, pediatric risk of mortality (PRISM) and pediatric index of mortality (PIM), are the most recent versions. The objectives of this study is to compare performances of PIM 2 and PRISM III scores in PICU in Dr. Soetomo Hospital.
Material : A prospective study was conducted in PICU Dr. Soetomo Hospital during period of January to April 2018. PIM 2 was assessed within first hour of admission and PRISM III score was assessed at 24 hours. Patients were followed up for outcome measured in form of survivors and non-survivors. Discrimination was assessed by calculating the area under the receiver-operating characteristic curve (AUC). Calibration across deciles of risk was evaluated using the Hosmer–Lemeshow goodness-of-fit x2 test.
Results : A total 93 patients were enrolled, 23 patients were excluded due to incomplete data, with mean age 63.8 (SD 8.89) months, male were 57%. Total of 68 (73 %) were survivors, and mean length of stay was 5.7 (SD 3.83) days. The PIM 2 AUC were 0,845 (0.756 – 0.934, CI 95%) and PRISM III AUC were 0.669 (0.545 - 0.794, CI 95%). The Hosmer- Lemeshow test revealed a chi-square of 8.199 (P = 0.414) for PIM 2, and 7.604 (P = 0.473) for PRISM III.
Conclusions : PIM 2 scores demonstrated better performance than PRISM III for predicting mortality in our PICU.
Keywords: children PICU pediatric index of mortality pediatric risk of mortality