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

Hatice Feray Arı; Salim Reşitoğlu; Mehmet Akif Tuncel; Mahmut Can Şerbetçi

Makale detayları

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

Yazarlar:

Hatice Feray Arı | Salim Reşitoğlu | Mehmet Akif Tuncel | Mahmut Can Şerbetçi

Yayıncı:

Pamukkale University

Ana Başlıklar:

Klinik Tıp Bilimleri (Diğer)

Dergi:

Pamukkale Tıp Dergisi Vol.17 Issue 4, pp.664-673

Belge Tipi:

Makale

Yayın Tarihi:

9/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001315056

pISSN:

1308-0865

Anahtar kelimeler:

Özet:

 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 morbiditymortality. Results: The study included 300 patients with a hospitalization period of 56.73105.95 days. At the end of the study, 56 18.7 patients had died. All scoring systems and mortality correlations were statistically significant p0.0001. 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.

 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 morbiditymortality. Results: The study included 300 patients with a hospitalization period of 56.73105.95 days. At the end of the study, 56 18.7 patients had died. All scoring systems and mortality correlations were statistically significant p0.0001. 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.

 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 morbiditymortality. Results: The study included 300 patients with a hospitalization period of 56.73105.95 days. At the end of the study, 56 18.7 patients had died. All scoring systems and mortality correlations were statistically significant p0.0001. 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.

 Amaç: Çocuk yoğun bakım ünitesinde ÇYBÜ yüksek mortalite riski önemli bir sorundur. Mortalite riskinin erken ön görülmesi için çeşitli risk skorlama sistemleri vardır. Pediatric Risk of Mortality PRISM, Pediatric Index of Mortality PIM, Pediatric Logistic Organ Dysfunction PELOD ve Pediatric Sequential Organ Failure Assessment PSOFA yaygın olarak kullanılmaktadır. Çalışmamızın amacı, PRISM III, PIM3, PELOD-2 ve PSOFA nın mortaliteyi öngörmedeki gücünün ve etkinliğinin değerlendirilmesidir. Gereç ve yöntem: Tek merkezli retrospektif çalışmada Nisan-Aralık 2021 tarihleri arasında ÇYBÜde yatan 1 ay- 18 yaş arası tüm hastalar incelendi. Elektronik kayıtlarından demografik özellikleri, klinik öyküleri ve morbidite mortalite durumu araştırıldı. Bulgular: Çalışmaya ÇYBÜ yatış süresi 56,73105,95 gün olan 300 hasta dahil edildi. Çalışma sonunda 56 18,7 hasta vefat etmişti. Tüm skorlama sistemleri ve mortalite korelasyonları istatistiksel olarak anlamlı bulundu p0,0001. Mortaliteyi öngörmede başarı oranları, duyarlılık ve özgüllük açısından incelendiğinde başarılı olma oranı sırasıyla PRISM III, PELOD-2, PSOFA ve PIM 3 idi. Sonuç: Dört mortalite skorlama sistemini karşılaştıran herhangi bir çalışmanın bulunmaması, kritik hastalığı olan çocuklarda erken tanı ve hızlı müdahale için skorlama sistemleri önemini artırmaktadır. Çalışmamıza dayanarak, PRISM III verilerinin heterojen hasta popülasyonumuzda mortalite ön gördürme için daha güvenilir olduğu bulunmuştur.

Makale detayları

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

Yazarlar:

Hatice Feray Arı | Salim Reşitoğlu | Mehmet Akif Tuncel | Mahmut Can Şerbetçi

Yayıncı:

Pamukkale University

Ana Başlıklar:

Klinik Tıp Bilimleri (Diğer)

Dergi:

Pamukkale Tıp Dergisi Vol.17 Issue 4, pp.664-673

Belge Tipi:

Makale

Yayın Tarihi:

9/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001315056

pISSN:

1308-0865

Mortality

pediatric

intensive care

reliability

effectivenessMortalite

pediatri

yoğun bakım

güvenilirlik

etkililik

Sayı

Makale detayları

Yazarlar: Hatice Feray Arı | Salim Reşitoğlu | Mehmet Akif Tuncel | Mahmut Can Şerbetçi

Yayıncı: Pamukkale University

Ana Başlıklar: Klinik Tıp Bilimleri (Diğer)

Dergi: Pamukkale Tıp Dergisi Vol.17 Issue 4, pp.664-673

Belge Tipi: Makale

Yayın Tarihi: 9/2024

Belge Dili: İngilizce

Document ID (Org No.): 2001315056

pISSN: 1308-0865

Sayı

Yazarlar:

Hatice Feray Arı | Salim Reşitoğlu | Mehmet Akif Tuncel | Mahmut Can Şerbetçi

Yayıncı:

Pamukkale University

Ana Başlıklar:

Klinik Tıp Bilimleri (Diğer)

Dergi:

Pamukkale Tıp Dergisi Vol.17 Issue 4, pp.664-673

Belge Tipi:

Makale

Yayın Tarihi:

9/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001315056

pISSN:

1308-0865