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[Comparison of PIM and SOFA scoring systems for mortality risk prognosis in critically ill children with sepsis]
Insights
The Sequential Organ Failure Assessment (SOFA) score better predicts mortality risk in pediatric intensive care units (ICUs) than the Pediatric Index of Mortality (PIM) score. SOFA effectively quantifies organ dysfunction in critically ill children.
Area of Science:
- Pediatric critical care medicine
- Clinical scoring systems
- Mortality risk assessment
Context:
- Intensive care units (ICUs) manage critically ill children.
- Accurate mortality risk assessment is crucial for patient management.
- Established scoring systems like SOFA and PIM are used for risk stratification.
Purpose:
- To compare the effectiveness of the SOFA score and the PIM score in predicting mortality in a pediatric intensive care unit.
- To evaluate the correlation between these scoring systems and patient outcomes.
Summary:
- A study of 200 pediatric patients in an ICU compared the Sequential Organ Failure Assessment (SOFA) score and the Pediatric Index of Mortality (PIM) score for mortality risk assessment.
- Results indicated that SOFA scores demonstrated a stronger correlation with mortality (Kendall's tau 0.64) compared to PIM scores (Kendall's tau 0.45).
- The SOFA score was found to be a more effective tool for predicting mortality and describing organ dysfunction in critically ill children.
Impact:
- The findings suggest that the SOFA score is a superior tool for mortality risk assessment in pediatric ICUs.
- This improved prediction can aid clinicians in making more informed treatment decisions for critically ill children.
- The study highlights the utility of SOFA in quantifying organ dysfunction, essential for managing complex pediatric cases.
Abstract:
The task of the study was the comparison of 2 scoring systems SOFA and PIM for mortality risk assessment in intensive care units. SOFA score is evaluated on admission and thereafter 72 and 120 h until ICU discharge in Children's Central Clinical Hospital from 2001 to 2005 years. Total 200 patients were studied. Mean age was 234.5+/-14.5. Mortality rate was 54 (27%). 89 (44.5%) were females and 111 (55.5%) were mails. Mechanical ventilation was performed in 72 (36%) patients. Septic shock was developed in 39 (19.5%) cases. Diagnose was confirmed by bacteriology in 68 (34%) cases. Higher score was in 93 (46.5%) cases, middle scores in 94 (47%) cases and low in 13 (6.5%) cases at the first day of admission. After 72 h. higher score was in 33 (16.5%) cases, middle in 113 (56.5%) cases and low in 54 (27.5%) cases. By evaluation with PIM--Higher score was in 58 (29%) cases, middle scores in 51 (25.5%) cases and low in 91 (45.5%) cases at the first day of admission. There is a correlation between the SOFA and PIM scores and paediatric mortality. Sofa scores predict mortality in ICU better then PIM scoring system. Kendall's tau of SOFA 0.64+/-0.3. Kendall's tau of PIM 0.45+/-0.2. Sofa scores is an excellent tool to describe the extent of organ dysfunction in critically ill patients.