Background: Prognostic scoring systems are increasingly used to predict risk of mortality by assessing severity of illness on the day of admission. Paediatric risk mortality III (PRISM III) score is commonly used among paediatric critical care units.
Objectives:To assess the severity of illness using PRISM III score in all paediatric medical intensive care unit (MICU) admissions within the first 24 hours and to find the relationship between PRISM III score and the mortality rate.Method: This was a prospective study conducted at MICU, Sirimavo Bandaranaike Specialized Children Hospital, Peradeniya, from July 2016 to April 2017. PRISM III score of each patient was calculated from abnormal physical and laboratory variables according to scoring system on admission day and the patients followed up for their outcome.
Results:The sample size was 105 with 51 males and 54 females. There were 23 deaths and 82 discharges from MICU. There was significant positive correlation with death and provision of mandatory ventilation or usage of any number of inotropes. The average PRISM III score among the sample was 8.1. The PRISM III scores among the deaths and survivals were 14.6 and 6.3 respectively.
Conclusions:PRISM III score is a good predictor of mortality and it is a good indicator of severity of illness on the day of admission.
Background: Effective initial stabilization of preterm neonates in the initial 60 minutes of life (termed neonatal golden hour) helps minimize complications such as intraventricular haemorrhage and chronic lung disease and leads to improved prognosis. Effective resuscitation, respiratory support, maintaining normal temperature and blood sugar, timely parenteral nutrition, timely treatment of sepsis and a completed admission within 60 minutes of delivery are identified as key components of the golden hour. High intensity and multitude of interventions necessary for initial stabilization, performed by a staff that lacks uniform training make golden hour a challenging task. A protocol can provide a care pathway on the essential steps of the golden hour. Simulationbased learning to practise the protocol has been identified as way to create a cohesive team.
Objectives:To evaluate effective implementation of a protocol on initial stabilization of preterm neonates delivered at less than 32 weeks gestation through a simulation programme.
Study design: Prospective studyMethod: The extent to which the key components of neonatal golden hour were achieved before and after implementation of the protocol were assessed using a checklist.
Results:In the post-protocol group a significant increase was seen in the number of infants resuscitated with optimal preparation and attended _________________________________________
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