A study on the prediction of illness related mortality of critically ill children by applying paediatric risk mortality III score in paediatric medical intensive care unit patients

Mukthar, F R; Faizal, Mam; Herath, H M D; Bamunuarachchi, C; Samarasinghe, P T V

doi:10.4038/sljch.v47i2.8476

Cited by 2 publications

(2 citation statements)

References 11 publications

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“…This is similar to other study by Mukhtar et al12 . As depicted in the table no 12 the duration of PICU stay also had a significant association with mortality, (60.4%) mortality with PICU stay of more than 10 days.…”

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confidence: 93%

Prediction of mortality risk by application of Pediatric Risk of Mortality (PRISM) score in tertiary care Pediatric Intensive Care Unit-A prospective observational study

Dey¹

2019

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Aim: Our aim was to estimate the prediction of mortality by application of Pediatric Risk of Mortality (PRISM) score in a tertiary care pediatric intensive care unit (PICU) patients. Methods: 225 children admitted to the PICU of a tertiary care hospital over a period of 24 months were enrolled in this cross-sectional observational study. PRISM III score was estimated using variables after admission in first 24 hours. The outcome was defined as survivors and deceased. Results: Of 225 patients, 44 died and 181 survived. By PRISM score 49 children had the score of 1-9. 45 patients had PRISM score of <15, Maximum number of cases (113 patients) had PRISM score between 16-30, 29 patients had a prism score ranging from 31-45 and 38 cases had a high PRISM score of >45. The recovery rate was 100% in the first group (scores <15), 99% in the second group (score 16-30) while 75.86% recovery was seen in the 3rd group (score 31-45) and only 5.26% in the fourth group (scores > 45). The proportion of deaths which was only 1% among children with the PRISM scores of 16-30, showed a gradual increase with increase in score value, reaching 94.7 % among the children with a PRISM scores of > 45 . Conclusion: PRISM score has good predictive value in assessing the probability of mortality in relation to children admitted to a pediatric intensive care unit.

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confidence: 93%

Prediction of mortality risk by application of Pediatric Risk of Mortality (PRISM) score in tertiary care Pediatric Intensive Care Unit-A prospective observational study

Dey¹

2019

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“…In which, low values of PRISM correlate with success in NIV and high values with acute respiratory failure. 24 In the studies conducted by Bornick and Cambonie showed that PRISM scored showed mean of 5.1 to 8.6 (±1.2-2.8 SD). [30][31] These values predict a higher success rate with NIV use.…”

Section: Prism (Pediatric Risk Mortality) and Mortalitymentioning

confidence: 97%

Effectiveness of Non-invasive Ventilation in Treating Infants Aged 1 to 12 Months with Severe Bronchiolitis: A Systematic Review and Meta-analysis

2021

Acta Med Philipp

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Objective. This study was done to determine the effectiveness of non-invasive ventilation (NIV) in treating infants aged 1 to 12 months with severe bronchiolitis based on a systematic review of literature and meta-analysis of quantitative results. Methods.We followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) flow diagram for identification, screening, and identification of eligible studies. Five databases (PubMed, Herdin, Cochrane Library, Google Scholar, and Science Direct) were searched for relevant studies involving the use of NIV among children with severe bronchiolitis. Included studies were assessed for quality and risk of bias.Results. There were 9 included eligible studies. The length of hospital stay and duration of respiratory support were significantly lower with the use of NIV compared with IMV (invasive mechanical ventilation) based on pooled standard mean difference (SMD) estimates; however, there was high statistical heterogeneity in the included studies. This can be attributed to differences in the mode of intervention used among studies, patient-specific factors, and viral virulence. Significant improvements in heart rate, oxygen saturation, and tCO 2 were seen in the included studies. One study showed statistically significant differences in changes in respiratory rate and improvement in respiratory status based on two bronchiolitis severity scores among infants placed on NIV. Conclusion.Fair to good-quality evidence from included studies reveals that there is a significant reduction in length of hospital stay, duration of respiratory support, and improvements in respiratory parameters among infants who received NIV for severe bronchiolitis. Larger, well-designed clinical trials on the use of NIV among resource-limited settings wherein it may offer valuable clinical utility, are recommended for future study.

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A study on the prediction of illness related mortality of critically ill children by applying paediatric risk mortality III score in paediatric medical intensive care unit patients

Cited by 2 publications

References 11 publications

Prediction of mortality risk by application of Pediatric Risk of Mortality (PRISM) score in tertiary care Pediatric Intensive Care Unit-A prospective observational study

Prediction of mortality risk by application of Pediatric Risk of Mortality (PRISM) score in tertiary care Pediatric Intensive Care Unit-A prospective observational study

Effectiveness of Non-invasive Ventilation in Treating Infants Aged 1 to 12 Months with Severe Bronchiolitis: A Systematic Review and Meta-analysis

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