title: Role of acute physiology and chronic health evaluation II scoring system in determining the severity and prognosis of critically ill patients in pediatric intensive care unit.
abstract: OBJECTIVE
  This study was conducted to validate the use of Acute Physiology and Chronic Health Evaluation II (APACHE II) scoring system in pediatric population in predicting the risk of mortality and to compare the predicted death rate (using APACHE II) with the actual death rate of the patients.
  
  
  METHODS
  Hospital-based prospective study.
  
  
  METHODS
  Tertiary care Pediatric Intensive Care Unit (PICU) in Western Rajasthan, India.
  
  
  METHODS
  A total of 100 critically ill children between 1 and 18 years of age admitted to PICU and fulfilling the inclusion criteria were enrolled. APACHE II score was calculated in each patient on the day of admission. The predicted mortality was calculated on the basis of this score.
  
  
  RESULTS
  The mean APACHE II score was 21.35 ± 5.76. Mean APACHE II score among the survivors was 16.60 ± 6.12, and mean APACHE II score among the nonsurvivors was 26.11 ± 5.41, and the difference was statistically significant (P = 0.00). The area under the receiver operating characteristic curve for APACHE II score was found to be 0.889 (P = 0.008) indicating good discrimination.
  
  
  CONCLUSIONS
  APACHE II scoring system has a good discrimination and calibration when applied to a pediatric population.
authors: Department of Paediatrics, Umaid Hospital, Dr. S N Medical College, Jodhpur, Rajasthan, India.
authors: N P
authors: NP
authors: Chhangani
authors: Department of Paediatrics, Umaid Hospital, Dr. S N Medical College, Jodhpur, Rajasthan, India.
authors: Minhas
authors: M
authors: Amandeep
authors: Department of Paediatrics, Umaid Hospital, Dr. S N Medical College, Jodhpur, Rajasthan, India.
authors: Sandeep
authors: S
authors: Choudhary
authors: Department of Paediatrics, Umaid Hospital, Dr. S N Medical College, Jodhpur, Rajasthan, India.
authors: Vidit
authors: V
authors: Gupta
authors: Department of Paediatrics, Umaid Hospital, Dr. S N Medical College, Jodhpur, Rajasthan, India.
authors: Vishnu
authors: V
authors: Goyal
keywords: Acute Physiology and Chronic Health Evaluation score; Pediatric Intensive Care Unit; calibration; critically ill; discrimination