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
Keywords
Related Articles
- EP ID EP543526
- DOI 10.21276/ijmrp.2017.3.2.007
- Views 74
- Downloads 0
Small Bowel GIST: Clinical Presentation as Intussusception and Obscure Bleeding: Case Reports
Intussusception and obscured GI bleeding are rare presentations of small intestinal GIST. Here, we report two cases one 14 year old male and another 58 year old female who had jejunal GIST found on exploratory laparotomy...
Comparative Evaluation of Efficacy of Intrathecal Isobaric Ropivacaine 0.75% Versus Isobaric Ropivacaine 0.75% with Dexmedetomidine for Infraumbilical Surgeries
Background: Various adjuvants are being used for spinal anaesthesia. Dexmedetomidine hydrochloride is a newer alpha2 agonist with sedative, analgesic and anxiolytic properties. Ours was a comparative study of efficacy of...
Symptomatic Thrombosis of Superior Mesenteric Vein Due to Diabetic Ketoacidosis
A 24-year-old man, with history of type I diabetes mellitus, presented with a 3-day persistent abdominal pain despite control of his DKA contrary to his 1-year similar attacks. CT-scan with contrast revealed partial thro...
To Study Clinical, Hematological and Neuroimaging Profile in Patients of Infantile Tremor Syndrome in a Rural Based Tertiary Care Centre
Background: Vitamin B12 or cobalamin deficiency is a rare and treatable cause of failure to thrive and delayed development in infants. It is especially more common in infants of vegan mothers. There is a report that ever...
Comparison Between Intravaginal Misoprostol (PGE1) and Dinoprostone (PGE2) in Induction of Labour
Introduction: Induction of labour is needed in many patients to improve outcomes of pregnancy. It is important to identify the most suitable agent to assist the progression of natural labour. Aims & Objectives: To conduc...