dc.creatorCOSTA, Graziela Araujo
dc.creatorDELGADO, Arthur F.
dc.creatorFERRARO, Alexandre
dc.creatorOKAY, Thelma Suely
dc.date.accessioned2012-03-26T18:42:45Z
dc.date.accessioned2018-07-04T14:16:34Z
dc.date.available2012-03-26T18:42:45Z
dc.date.available2018-07-04T14:16:34Z
dc.date.created2012-03-26T18:42:45Z
dc.date.issued2010
dc.identifierClinics, v.65, n.11, p.1087-1092, 2010
dc.identifier1807-5932
dc.identifierhttp://producao.usp.br/handle/BDPI/9952
dc.identifier10.1590/S1807-59322010001100005
dc.identifierhttp://www.scielo.br/scielo.php?script=sci_arttext&pid=S1807-59322010001100005
dc.identifierhttp://www.scielo.br/pdf/clin/v65n11/05.pdf
dc.identifier.urihttp://repositorioslatinoamericanos.uchile.cl/handle/2250/1607880
dc.description.abstractINTRODUCTION: To establish disease severity at admission can be performed by way of the mortality prognostic. Nowadays the prognostic scores make part of quality control and research. The Pediatric Risk of Mortality is one of the scores used in the pediatric intensive care units. OBJECTIVES: The purpose of this study is the utilization of the pediatric risk of mortality to determine mortality risk factors in a tertiary pediatric intensive care units. METHODS: Retrospective cohort study, in a period of one year, at a general tertiary pediatric intensive care unit. The pediatric risk of mortality scores corresponding to the first 24 hours of hospitalization were recorded; additional data were collected to characterize the study population. RESULTS: 359 patients were included; the variables that were found to be risk factors for death were multiple organ dysfunction syndrome, mechanical ventilation, use of vasoactive drugs, hospital-acquired infection, parenteral nutrition and duration of hospitalization (p < 0,0001). Fifty-four patients (15%) died; median pediatric risk of mortality score was significantly lower in patients who survived (p=0,0001). The ROC curve yielded a value of 0.76 (CI 95% 0,69-0,83) and the calibration was shown to be adequate. DISCUSSION: It is imperative for pediatric intensive care units to implement strict quality controls to identify groups at risk of death and to ensure the adequacy of treatment. Although some authors have shown that the PRISM score overestimates mortality and that it is not appropriate in specific pediatric populations, in this study pediatric risk of mortality showed satisfactory discriminatory performance in differentiating between survivors and non-survivors. CONCLUSIONS: The pediatric risk of mortality score showed adequate discriminatory capacity and thus constitutes a useful tool for the assessment of prognosis for pediatric patients admitted to a tertiary pediatric intensive care units.
dc.languageeng
dc.publisherFaculdade de Medicina / USP
dc.relationClinics
dc.rightsCopyright Faculdade de Medicina / USP
dc.rightsopenAccess
dc.subjectQuality of care
dc.subjectPrognostic scores
dc.subjectMultiple organ dysfunction syndrome
dc.subjectCritical care
dc.subjectMortality rate
dc.titleApplication of the pediatric risk of mortality (PRISM) score and determination of mortality risk factors in a tertiary pediatric intensive care unit
dc.typeArtículos de revistas


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