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Research Journal of Medical Sciences

ISSN: Online 1993-6095
ISSN: Print 1815-9346
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Prism III Scoring System: A Predictor of Mortality in Pediatric Intensive Care Units at Tertiary Care Center

Arvind N. Chavan, Nagesh H. Lonikar, Saleem H. Tambe, Pratiksha Dhurve, Shobhit Kamble and Sourav Mallick
Page: 411-415 | Received 05 May 2024, Published online: 22 Jun 2024

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https://doi.org/10.36478/10.36478/makrjms.2024.7.411.415

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Abstract

Intensive care is crucial for managing critically ill children the Pediatric Risk of Mortality (PRISM) III score is a key quantitative tool for predicting mortality risk in Pediatric Intensive Care Units (PICUs). Despite its global use, there is limited data on its applicability in tertiary hospitals in Central India. This study aimed to evaluate the effectiveness of the PRISM III score in predicting mortality outcomes among pediatric patients in a tertiary care hospital. A prospective observational study was conducted over 18 months (February 2021‐July 2022) in the PICU of a tertiary care hospital in Central India. The study included 250 children aged 2 to 12 years admitted to the PICU. Detailed demographic information, medical history clinical assessments, including vital signs and Glasgow Coma Scale (GCS) scores, were recorded within 24 hours of admission. The PRISM III score was used to evaluate mortality risk. Statistical analysis was performed using chi‐square tests, Hosmer and Lemeshow test logistic regression. A significant correlation was found between higher PRISM III scores and increased mortality (P = 0.0001). In the highest PRISM III score group (>30), the observed mortality rate (48 patients) exceeded the expected mortality (18.4 patients), yielding an O/E ratio of 2.61. There was also a significant association between PRISM III scores and GCS categories (P = 0.0001), with higher PRISM III scores linked to more severe GCS categories. The overall mortality rate was 34%, with 66% of patients discharged. The PRISM III score effectively predicts mortality outcomes in pediatric patients admitted to PICUs in Central India. This study highlights the importance of regional adaptations and integration with clinical assessments to improve the accuracy of outcome predictions. Future research should validate these tools across diverse settings and focus on local health trends and clinical presentations.

How to cite this article:

Arvind N. Chavan, Nagesh H. Lonikar, Saleem H. Tambe, Pratiksha Dhurve, Shobhit Kamble and Sourav Mallick. Prism III Scoring System: A Predictor of Mortality in Pediatric Intensive Care Units at Tertiary Care Center.
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.7.411.415
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.7.411.415