Outcome of Children with Severe Pneumonia Assessed on PRISM III Scoring System
Journal Title: International Journal of Medical Research Professionals - Year 2017, Vol 3, Issue 2
Abstract
Objective: To determine the outcome of children with “Severe Pneumonia” having PRISM III score ≥ 10 admitted at Pediatrics Intensive Care Unit (PICU). Study Design: Case Series study performed in National Institute of Child Health (NICH), Karachi from 15th May 2013 to 14th November 2013. Material and Methods: Total 97 patients of either sex with age 2 months to 5 years diagnosed with severe pneumonia having PRISM Score ≥10 were included in the study. Patients PRISM score calculated within 24 hours of PICU admission. Patients were followed for maximum 7 days and outcome was measured in terms of alive or death. SPSS version 20 was used for data entry and analysis. Results: There were 53.6% male and 46.4% female patients. The mean weight was 13.74±5.95 Kg and length of hospital stay was 6.93±1.05 days. Mean PRISM III score was 12.06±1.51 with range of 6 (10 – 16). At the 7th day of hospital stay the final outcome (alive/death) was observed and it was found that severe pneumonia with PRISM score ≥10, 69.1% patients were alive and 30.9% patients were dead. 69 patients had PRISM III score ≤12 out of them 53(76.8%) were alive and 16(23.2%) were dead. 28 patients had PRISM III score >12 of which 14 were alive and 14 were dead. There was a significant association was observed between PRISM III score and outcome (alive/dead) at p<0.01 level.
Authors and Affiliations
Naresh Kumar, Jai Parkash, Chetan Das, Priya Hotwani, Danish Kumar
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