Browsing by Author "Mekuanint, Ayal"

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    Pediatrics Index of Mortality 2 Scoring (PIM2) In Patients Admitted at Pediatric Intensive Care Unit of Tikur Anbesa Specialized Hospital
    (Addis Ababa Universty, 2017-12) Mekuanint, Ayal; Bacha, Tigist (MD,MPH,Associate professor)
    Introduction Mortality risk scoring systems have been widely used in modern intensive care unit. It is considered as important measures for quality assessments, controlling for severity of illness in clinical studies and studies of resource utilization and management. Objective The aim of this study was to determine pediatrics index of mortality 2 (pim2) scoring for Pediatric intensive care unit (PICU) admitted to Tikur Anbesa specialized hospital (TASH) patients, and to evaluate its service with the standards. Methodology Descriptive cross sectional study with prospective data collection. All patients admitted to PICU from April, 1-September, 20-2017 were included. Pretested questioner which includes demographics, diagnoses at admission, and duration of intensive care unit stay, PIM2 score and outcome was used. The data was entered and analyzed using SPSS version 20. The ratio of observed to predicted mortality using Standardized mortality ratio (SMR) was calculated for the group of patients by using chi square. Results The study included 82 patients. The main causes of admission surgical (34.1%), neurology (17.1%) and cardiac diseases (13.1%) Patients stay in PICU ranged from (1 – 120) days with a median 4(interquartile range (IQ): 1-120) days. Fourthy four (53.66%) needed mechanical ventilator within 1 hour of admission from this 23(52.3%) of them died which contributed 69.7%of the total death. The mean predicted mortality by pim2 was 13.1[95%CI: 15.26-26.86] and the observed mortality was 40.2% making a SMR 3.1. Conclusion and recommendation In our study PIM2 scoring didn’t discriminate between died and improved in PICU case mix patients at TASH so it is better to do another scoring system with its validation study.