儿童死亡风险IV和儿童死亡指数3的比较表现在患有癌症的重症儿童中:一项前性观察性研究
Kushal R Kalvit1, Shilpushp J Bhosale2, Jacob G Pulinilkunnathi3
1Guys and St Thomas' NHS Foundation Trust, London, United Kingdom.
概括
儿科风险死亡率IV和儿科死亡率指数3得分显示,在患有癌症的重症儿童中存在可接受的歧视. 在这种脆弱的瘤学人群中,PRISM IV 显示出更好的校准来预测存活率.
科学领域:
- 儿科重症监护 儿科重症监护
- 在瘤学瘤学.
- 医学评分系统 医学评分系统
背景情况:
- 儿科死亡风险 (PRISM) IV和儿科死亡指数 (PIM) 3是广泛使用的疾病严重程度评分系统.
- 这些系统在重症儿科瘤患者中缺乏验证.
研究的目的:
- 为了比较PRISM IV和PIM 3在患有癌症的重症儿童中的性能.
- 评估这些分数在预测死亡率中的区分能力和校准.
主要方法:
- 一项前性观察性研究包括415名患重病儿科患者.
- 为了计算PRISM IV和PIM 3分数,收集了人口,生理和实验室数据.
- 在线计算器被用来确定得分和预测死亡风险.
主要成果:
- 住院死亡率为36.1%.
- 接收器操作特征曲线 (AUROC) 下的面积在PRISM IV是0.71,在PIM 3是0.78.
- PRISM IV显示了良好的校准,而PIM 3校准表明了潜在的问题.
结论:
- 无论是PRISM IV还是PIM 3,都表明了对重症儿科瘤患者的可接受歧视.
- 在这个队列中,PRISM IV在预测存活率方面表现出卓越的校准.
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