Utility Of Pediatric Risk Mortality (PRISM) Score In Predicting Outcome Tertiary Level Rural Pediatric Intensive Care Unit

Abstract

Introduction: To assess the severity of patients admitted in Pediatric Intensive Care units, scores are utilized which help in prognostication of outcome in terms of mortality and morbidity. Objective: e purpose of this study is the utilization of the PRISM III score to predict outcome in sick children admitted in PICU in rural area. Methods: Prospective cohort study, in a period of approx. 8 months, at a tertiary pediatric intensive care unit situated in rural area . e pediatric risk of mortality scores corresponding to the first 24 hours of hospitalization were recorded; additional data were collected to characterize the study population. Results: 84 patients were included; twenty three (27.4%) died; mean pediatric risk of mortality score was significantly lower in patients who survived (P < 0.001).On logistic regression analysis of the discharge status (survived / non-survived), taking PRISM score as the predictor of mortality, Odds Ratio was 17.408 with 95% confidence interval (5.11- 59.27) which was clinically significant. Discussion: PRISM score was found to be effective tool to determine the overall outcome and can be an important tool to prognosticate about admitted patients. In this study pediatric risk of mortality showed satisfactory discriminatory performance in differentiating between survivors and non‐survivors.