A CROSS-SECTIONAL STUDY TO EVALUATE THE OUTCOME OF PATIENTS ADMITTED TO PAEDIATRIC INTENSIVE CARE UNIT BY USING PAEDIATRIC MULTIPLE ORGAN DYSFUNCTION SCORE (P-MODS) AT KLES TERTIARY CARE HOSPITAL AND MRC, BELGAUM
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2017, Vol 6, Issue 45
Abstract
BACKGROUND Objectives- Mortality in PICU is related to the number of organ dysfunction. The PMOD score as a continuous variable, which defines and predicts the number of organ dysfunction in successive day of ICU stay can be a good alternative to other scoring systems such as PIM and PRISM use as a surrogate for prediction of mortality in PICU. The present study was planned in an attempt to evaluate the outcome of patients admitted to PICU by using Paediatric Multiple Organ Dysfunction Score (P-MODS). MATERIALS AND METHODS This one-year cross-sectional study was done in the PICU under the Department of Paediatrics, KLES Dr. Prabhakar Kore Hospital and Medical Research Centre, Belgaum from January 2014 to December 2014. During the study period, there were a total of 694 admissions in PICU of which eligible 100 were studied. RESULTS Of the 100 children studied, 59% of the children were boys with boy to girl ratio of 1.43:1 and more than one-third of the children (37%) were aged < 1 year and the mean age was 4.65 ± 4.60 years. 56% of the children were from Class II socioeconomic status according to modified B. G. Prasad’s classification. The mortality rate was 18%. MODS was noted in 74% of the children and mortality was significantly associated with MODS (p= 0.001). Ventilatory support was noted in 24% of the children. In majority of the children (70%), the length of hospital stay was ≤ 3 days. Most of the children (42%) had P-MOD score of 4 to 7. The mean PMOD scores among the non-survivors were significantly high compared to non-survivors (p < 0.001). The percentage of death in children with 0 to 3 P-MOD scores was 3.3%, which was high reaching 60% among the children with P-MOD scores of ≥ 12. The mean PMOD scores increased significantly with increase in organ involvement (p < 0.001). Using the cut-off point of 7.5, PMOD score showed higher sensitivity (77.78%) and specificity (82.93%) in predicting outcome. CONCLUSION PMOD score strongly correlates with the PICU mortality and no. of organ dysfunction and can be used in PICU for the prediction of outcome.
Authors and Affiliations
Mousin Mustafa Batt, Roopa M Bellad
Keywords
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- EP ID EP217073
- DOI 10.14260/Jemds/2017/763
- Views 76
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