ESTIMATION OF SHORT-TERM OUTCOMES IN PATIENTS ADMITTED IN PICU BY APPLICATION OF A SEVERITY OF ILLNESS SCORE (PRISM-III SCORE)
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 20
Abstract
BACKGROUND The concept of Paediatric intensive management is changing rapidly worldwide. But there are no definite parameters available for the assessment of the patient’s severity. There was an intense need to conduct study which deals with the assessment of patient but also helps in prognosticating the patient and help in counseling the parents at the time of admission. The severity of sickness is assessed on the basis of PRISM-III Score (Paediatric Risk of Mortality), that is an internationally accepted standard score. MATERIALS AND METHODS The present prospective observational study was carried out during October 2015 to September 2016 in Paediatric Intensive Care Unit (PICU) of Prakash Institute of Medical Sciences and Research, Urun-Islampur. All patients admitted to PICU during October 2015 to September 2016 who fulfilled the inclusion criteria were enrolled in the study. RESULTS Among the physiological parameters BP, GCS and pupils showed statistically significant association with mortality. Heart rate and temperature did not show any significant relation with mortality. Only 4 patients had severe tachycardia as risk factor. We did not find any significant association between these parameters and mortality. Among lab parameters studied, ABG showed significant association with mortality with 64.7% mortality for children with pH less than 7.28. On evaluation of chemistry tests Potassium, Creatinine and BUN showed good association with mortality. 38.5% mortality for glucose values < 80, which was statistically significant. Based on Haematological tests, PT and PTT showed significant association with mortality. WBC count and platelet count did not show significant association with mortality. CONCLUSION PRISM III score has good predictive value in assessing the probability of mortality.
Authors and Affiliations
Anil Bhoi, Vandana Bhoi
Keywords
Related Articles
- EP ID EP431412
- DOI 10.14260/jemds/2018/555
- Views 76
- Downloads 0
Consultant Radiologist, Department of Radiodiagnosis, Vision Diagnostic Centre, Ratlam, Madhya Pradesh, India.
BACKGROUND Missing teeth and supporting oral tissues have traditionally been replaced with dentures or bridges permitting restoration of mastication, speech, and aesthetics. Dental Implants are inserted into the jawbones...
NON-OPERATIVE MANAGEMENT OF BLUNT HEPATIC AND/OR SPLENIC TRAUMA: A PROSPECTIVE STUDY
[b] PURPOSE[/b]: The incidence of blunt splenic and hepatic injuries are on a rise not only because of an increase in the overall incidence of Road Traffic Accidents but also due to more liberal use of radiolog...
EVALUATE THE EFFECT OF CIGARETTE SMOKING IN LIPID PROFILE, BODY MASS INDEX (BMI), BLOOD PRESSURE (BP), RESTING HEART RATE AND RR INTERVAL IN HEALTHY SMOKERS AND COMPARE IT WITH NON-SMOKERS
BACKGROUND Cigarette smoking is an important and independent risk factor for atherosclerosis, coronary artery disease, peripheral vascular disorders, cerebrovascular diseases, cancer and for chronic obstructive airway di...
MANAGEMENT OF JUXTA-ARTICULAR FRACTURES OF TIBIA MANAGED WITH HYBRID EXTERNAL FIXATOR
BACKGROUND Juxta-articular fractures of tibia are most serious and complicated injuries, which are found to be very difficult to fix and manage. These types of fractures usually occur due to RTA and fall from height; ult...
RELATIONSHIP BETWEEN GENDER AND LEARNING STYLE PREFERENCES- A STUDY AMONG UNDERGRADUATE MEDICAL STUDENTS IN SOUTH INDIA
BACKGROUND Learning style is defined as the manner and condition under which learners most efficiently and effectively perceive, process, store and recall what they attempt to learn. Each student or learner has a dominan...