Validity of PRISM Score in Predicting Mortality in a Tertiary Care Hospital in North India
Journal Title: International Journal of Contemporary Medical Research - Year 2018, Vol 5, Issue 9
Abstract
Introduction: Severity of illness assessments is a critical part of ICU management. Study aimed at validiting the Pediatric Risk of Mortality score (PRISM) score in predicting mortality in a tertiary care Pediatric Intensive Care Unit in North India. Material and Methods: It was a Prospective observational study in a Pediatric Intensive Care Unit of a tertiary care hospital in North India. 411 patients were enrolled in the study. We divided patients into two categories based on PRISM-III 24 score - Patients with PRISM score >8 and those with a score of ≤8. Three hundred twenty-three (323) patients had a PRISM score ≤8, and 38 patients died in this category (11.8% mortality). In contrast, 88 patients had a PRISM score >8, and 32 patients died in this category (36.4% mortality). Results: Prism score >8 was a significant predictor of mortality (chi-square value of 29.615 and a p-value of <0.001). The odds ratio for dying in the presence of prism score >8 was 9.28 (9 times more risk of dying compared to patients with a prism score >8) with a 95% CI of 2.47-7.43. Cox regression analysis showed that PRISM score >8 was an independent predictor of mortality. Conclusion: PRISM score is a significant predictor of mortality.
Authors and Affiliations
Zul Eidain Hassan, Irfan Quyoom, Iqbal Mushtaq
Keywords
Related Articles
- EP ID EP432080
- DOI -
- Views 154
- Downloads 0
Clinical Study of 3rd, 4th and 6th Cranialnerve Palsies Leading to Visual Disturbances
Introduction: 3rd,4th and 6th cranial nerves are responsible for all ocular movements and normal binocular vision. Palsy of any of these nerves result squinting and diplopia which leads to defective vision. Study aimed t...
Assessment of Serum Magnesium Levels in Stroke Patients and its Correlation with Severity of Neurological Disability
Introduction: WHO clinically defines a stroke as ‘the rapid development of clinical signs and symptoms of a focal neurological disturbance lasting more than 24 hours or leading to death with no apparent cause other than...
Epidemiology of Disability due to Blindness in Prakasham District of Andhra Pradesh, India
Introduction: Blindness is one of the important causes of disability and it is a public health problem worldwide. It is a great concern of the day. Government of India (GOI) is taking several measures to protect the disa...
Intrauterine Balloon Tamponade in the Management of Severe Postpartum Haemorrhage: Case Series from a Tertiary Care Hospital
Introduction: Uterine balloon tamponade technology is nowadays popularly used to control post partum haemorrhage. Among various methods, Foley’s catheter tamponade is simple, easy to use and is effective. The study evalu...
Controlled Hypotension in Functional Endoscopic Sinus Surgery: A Comparison between Esmolol and Dexmedetomidine - A Randomized Prospective Study
Introduction: Controlled hypotension is a tried and tested tool in minimizing blood loss, thus aiding haemodynamic stability intra-operatively. This study aims at comparing the efficacy of esmolol versus dexmedetomidine...