Clinical Profile and Validity of PRISM III among Children Admitted in A PICU Over One Year - Abstract
Introduction: Ability to quantify the severity of the patient and predict the probability of death based on the clinical state of admitted child can help decision making selection of treatments, ethical issues and economic strategies.
Aim and objectives: To analyze clinical and demographic profile of children admitted in PICU and predictive value of PRISM score.
Material and methods: It was a prospective, observational, Clinical study. Minimal sample size for the sample to be representative was 240. Consecutive type of non-probability sampling was used during the study. Receiver operator characteristic curve analysis was done for evaluating the efficacy of PRISM Score to predict mortality.
Results: During the study period we had total 315 admissions with 112 being direct admissions while rests 202 were transfer in from ward. Out of these 315 patients 262 were either transferred out of PICU or discharged to home while 49 children died thus mortality rate was 15%. At cut-off of 10.5, PRISM score at 12 hours and at cut-off of 8.5, PRISM score at 24 hours had good sensitivity and specificity. An inverse correlation was observed between PRISM score
at 12 hours and 24 hours with hospital stay i.e. higher PRISM score was correlating with decreased hospital stay.
Conclusion: There was male predominance and younger rage groups among PICU admissions. PRISM score at presentation may be used as a tool in predicting mortality in critically ill children. Hemato-onclogy and postoperative status were the commonest indications for PICU admissions in our set up.