scholarly journals Prediction Of Mortality By Pediatric Risk Of Mortality (PRISM) III Score In NGMC Pediatric Intensive Care Unit

2019 ◽  
Vol 17 (1) ◽  
pp. 5-9
Author(s):  
Roma Bora
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Pediatric Intensive Care Unit ◽  
Analytical Study ◽  
Pediatric Intensive Care ◽  
P Value ◽  
Prediction Of Mortality ◽  
Risk Of Mortality ◽  
Prediction Of Prognosis ◽  
Developed World

Background: The pediatric risk of mortality (PRISM) III score helps in predicting prognosis. It is being used in most of the pediatric intensive care units of developed world and few of developing ones. We have undertaken this study to evaluate efficacy of PRISM III score in prediction of mortality. Material and Methods: Prospective hospital based analytical study conducted from May 2018 to April 2019 in patients admitted to pediatric intensive care unit (PICU) of NGMC, Nepal. The pediatric risk of mortality score (PRISM) III which includes 14 parameters (physiological and laboratory) was recorded within 24 hours of admission. A total of 480 patients were included. The final outcome was recorded as death or discharge. Result: It was observed that mortality increased with increasing PRISM III score approaching almost 100% by PRISM III score of 25 and more. The variables that were found to be risk factors for death were readmission, diseases of hepatobiliary system, mechanical ventilation (MV) and use of vasoactive drugs with p value of <0.001. PRISM III score offers a good discriminative power with 0.866 (95% CI) area under the ROC curve. Conclusion: The pediatric risk of mortality score was found to be a useful tool for prediction of prognosis.

scholarly journals Respiratory Modalities in Preventing Reintubation in a Pediatric Intensive Care Unit

2021 ◽  
Vol 8 ◽  
pp. 2333794X2199153
Author(s):  
Ameer Al-Hadidi ◽  
Morta Lapkus ◽  
Patrick Karabon ◽  
Begum Akay ◽  
Paras Khandhar
Keyword(s):  
Intensive Care Unit ◽  
Mechanical Ventilation ◽  
Intensive Care ◽  
Pediatric Intensive Care Unit ◽  
Noninvasive Positive Pressure Ventilation ◽  
Pediatric Intensive Care ◽  
Nasal Cannula ◽  
Respiratory Support ◽  
Positive Pressure ◽  
P Value

Post-extubation respiratory failure requiring reintubation in a Pediatric Intensive Care Unit (PICU) results in significant morbidity. Data in the pediatric population comparing various therapeutic respiratory modalities for avoiding reintubation is lacking. Our objective was to compare therapeutic respiratory modalities following extubation from mechanical ventilation. About 491 children admitted to a single-center PICU requiring mechanical ventilation from January 2010 through December 2017 were retrospectively reviewed. Therapeutic respiratory support assisted in avoiding reintubation in the majority of patients initially extubated to room air or nasal cannula with high-flow nasal cannula (80%) or noninvasive positive pressure ventilation (100%). Patients requiring therapeutic respiratory support had longer PICU LOS (10.92 vs 6.91 days, P-value = .0357) and hospital LOS (16.43 vs 10.20 days, P-value = .0250). Therapeutic respiratory support following extubation can assist in avoiding reintubation. Those who required therapeutic respiratory support experienced a significantly longer PICU and hospital LOS. Further prospective clinical trials are warranted.

Validation of a modified pediatric risk of mortality III model in a pediatric intensive care unit in Thailand

2018 ◽  
Vol 2 (4) ◽  
pp. 65 ◽  
Author(s):  
Kanokpan Ruangnapa ◽  
Sittikiat Sucheewakul ◽  
Tippawan Liabsuetrakul ◽  
Edward McNeil ◽  
Kantara Lim ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Pediatric Intensive Care Unit ◽  
Pediatric Intensive Care ◽  
Risk Of Mortality

Use of the Pediatric Risk of Mortality score to predict nosocomial infection in a pediatric intensive care unit

1991 ◽  
Vol 19 (2) ◽  
pp. 160-165 ◽  
Author(s):  
EVELYN POLLOCK ◽  
E. LEE FORD-JONES ◽  
MARY COREY ◽  
GEOFFREY BARKER ◽  
CATHY M. MINDORFF ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Nosocomial Infection ◽  
Pediatric Intensive Care Unit ◽  
Pediatric Intensive Care ◽  
Risk Of Mortality

scholarly journals Mean difference of Electrolyte Level measured in Arterial Blood gases and measured in Laboratory in Children presenting in Pediatric Intensive Care Unit

2021 ◽  
pp. 3-6
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Pediatric Intensive Care Unit ◽  
Pediatric Intensive Care ◽  
Blood Gases ◽  
P Value ◽  
Arterial Blood Gases ◽  
K Value ◽  
Electrolyte Level ◽  
Arterial Blood

Background: Electrolytes are measured in arterial and venous blood by arterial blood gas analyzer and the auto-analyzers respectively. Objective: To determine the mean difference in electrolyte level in arterial blood gases (ABGs) level versus laboratory serum electrolyte level in the children admitted in the pediatric intensive care unit. Methodology: This cross-sectional study was conducted at department of Pediatrics, the Children’s Hospital and Institute of Child Health, Lahore from 1st December 2015 to 31st May 2016. Total of 125 children fulfilling inclusion criteria were enrolled in the study from pediatric intensive care unit. The ABGs (whole blood) electrolytes were obtained immediately after collection, using ABGs analyzer. Serum electrolytes were analyzed in the central laboratory of the institution. Reports were assessed and levels of sodium and potassium was noted from reports of ABGs and laboratory. Results: Mean NA+ value on ABGs and from laboratory was 134.66 and 132.26 (p= 0.01). Mean K+ value from on ABGs and from laboratory was 4.51 and 4.28. (p= 0.071). In age group 1-5 and 6-10 years, K+ level was high in ABGs value (p-value=0.065 & p-value=0.073). However, in age group 11-15 years K+ level was significantly higher in ABGs value as that of laboratory value (p-value=0.014). The same trend was observed in male and female children that mean NA+ and K+ value with ABGs was significantly higher as compared to that of laboratory value. Conclusion: NA+ and K+ in arterial blood gases level were different from laboratory serum electrolyte level in children admitted to pediatric intensive care unit. Clinician should be aware of differences so that potential misdiagnosis does not occur and unnecessary treatment or investigation can’t be performed.

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