title: Prediction of mortality by application of PRISM score in intensive care unit.
abstract: OBJECTIVE
  Prediction of mortality by application of Pediatric Risk of Mortality (PRISM) score in Pediatric Intensive Care Unit (PICU) patients under Indian circumstances.
  
  
  METHODS
  Prospective study.
  
  
  METHODS
  PICU of a tertiary care multi-specialty hospital.
  
  
  METHODS
  100 sick pediatric patients admitted consecutively in PICU were taken for this study. PRISM score was calculated. Hospital outcome was recorded as (died/survived). The predicted death was calculated by the formula:
  
  
  RESULTS
  Of 100 patients, 18 died and 82 survived. By PRISM score 49 children had the score of 1-9. The expected death in this group was 10.3% (n = 5.03) and the observed death was 8.2% (n = 4). Among 45 children with the score of 10-19, the expected mortality was 21.2% (n = 9.6) and observed was 24.4% (n = 11). There were 3 patients with the score of 20-29, the expected mortality in this group was 39.3% (n = 1.18) and observed mortality 33.3% (n = 1). There were 3 patients with score > or = 30, observed death 66.3% (n = 2) and expected mortality was 74.7% (n = 2.24). There was no significant difference between expected and observed mortality in any group. (p > 0.5). ROC analysis showed area under the curve of 72%.
  
  
  CONCLUSIONS
  PRISM score has good predictive value in assessing the probability of mortality in relation to children admitted to a PICU under Indian circumstances.
authors.affiliation: St. Stephen s Hospital, Tis Hazari, Delhi 110 054, India.
authors.forename: D
authors.initials: D
authors.lastname: Singhal
authors.forename: N
authors.initials: N
authors.lastname: Kumar
authors.forename: J M
authors.initials: JM
authors.lastname: Puliyel
authors.forename: S K
authors.initials: SK
authors.lastname: Singh
authors.forename: V
authors.initials: V
authors.lastname: Srinivas
mesh_terms: D002423:Cause of Death; D002675:Child, Preschool; D003906:Developing Countries; D005260:Female; D017052:Hospital Mortality; D006801:Humans; D007194:India; D007223:Infant; D015278:Intensive Care Units, Pediatric / Q000706:statistics & numerical data*; D008297:Male; D017063:Outcome Assessment, Health Care / Q000706:statistics & numerical data; D011237:Predictive Value of Tests; D012306:Risk; D012720:Severity of Illness Index; D016019:Survival Analysis