Validation of SICK score - A severity of illness scoring system at a tertiary care centre in Puducherry
Journal Title: Pediatric Review: International Journal of Pediatric Research - Year 2017, Vol 4, Issue 3
Abstract
Objectives: Validation of SICK score for its ability to predict out come. Validation based on predominant system involved. Methods: Prospective study done at tertiary care centre in puducherry. Inclusion criteria: All children admitted in PICU between 1 month & 12 year in 6 month period. Exclusion criteria: Patients with surgical illness, congenital anomalies, non availability of consent. Physical variables of Temperature, Heart Rate, Respiratory Rate, Blood pressure, Capiallary Refill time, Oxygen saturation & sensoriurn (using AVPU scale) were recorded at the time of admission. SICK score was calculated and outcome was recorded as survived or expired. Association of patients outcome with total score was done using logistic regression analysis. The receiver operating characteristic (ROC) curve analysis was performed to decide the optimum cut off point in terms of total score that provides maximum sensitivity & specificity. Area under ROC curve (AUC) was used to compare the predictive power of total score. All analysis was carried out using SPPS software version 13.0. Results: Total of 354 Children were analyzed. For SICK score of <1 mortality was 0%, which gradually increased to 100% with a score of 7 or more. The area under the ROC curve was 93% (95%: CI: 89.8% - 97.3%) indicating good predictive ability of the score. Conclusion: SICK score has good predictive ability and uses only physical criteria. Further SICK score is not influenced by predominant system involved.
Authors and Affiliations
Shivaramakrishna Babji. N, Bala gopal. M, N Anoop Sharma, Chandran Sivaguru
Keywords
Related Articles
- EP ID EP279611
- DOI 10.17511/ijpr.2017.03.06.
- Views 133
- Downloads 0
Study of use of fluid regulator in the fluid management of dengue fever in children in a rural tertiary care hospital
Background: Dengue is the most rapidly spreading mosquito borne viral disease in the world. In the last 50 years incidence has increased 30 folds with increasing geographical expansion to new countries and into present d...
The role of structured handouts in improving the teaching learning process of final year MBBS students
Introduction: Teaching includes application of various teaching learning methods by a teacher to transfer knowledge and skills to a student. It requires a lot of effort and talents to modify the method more effectively,...
Study of lipid profile levels in malnourished and healthy children: a case control study
Background: Under nutrition causes reduced growth and endocrine adaptations in order to maintain basic life processes. Protein energy malnutrition often coexists with micronutrient deficiencies. Malnutrition results from...
Use of NESTROFT as a screening test for the carrier of Thalassemia major
Objective: To evaluate use of NESTROFT as a screening test for the carrier of thalassemia major. Design: prospective study. Settings and participants: 121 random clinically normal children who were siblings of thalassem...
Nutritional assessment of children infected with HIV on Pre-ART & on ART
Introduction: PEM is one of the commonest manifestations of HIV in India. Malnutrition has a major impact on the outcome of HIV as it not only increases mortality but also results in an impaired response to ART. Nutriti...