Observed outcome and Comparison to Pediatrics Index Mortality 3 Score of Patients Admitted to Pediatric Intensive Care Units at TASH, Ethiopia: A Prospective Cohort Study 2024
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Date
2025-02-13
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Addis Ababa University
Abstract
Background: Pediatric index of mortality 3 (PIM 3) score is an illness severity and scoring systems used for predicting outcome of children admitted to PICU. It is an integral part of providing ICU care and used as performance indicators of ICUs.
Objectives: To determine outcome and comparison to pediatrics Index Mortality 3 score of patients admitted to pediatric intensive care units at TASH Hospital, Ethiopia: A Prospective Cohort Study (2024 GC). Methods: Hospital based Prospective cohort study design was employed from October, 2024 to February, 2024 to determine observed outcome and comparison to pediatrics Index Mortality 3 score of patients admitted to pediatric intensive care units at TASH Hospital, Ethiopia. Data were collected by structured checklists adapted from different pieces of literature, through history taking, patient document review, and physical examination. The PIM-3 was scored within the first hour of admission. The standardized mortality ratio (SMR) was calculated using the Mid-P exact method. The discriminatory function was assessed by the area under the receiver operating characteristic (ROC) curve.
Result: A total of 74 participants with a median age of 48.5 months at admission were included in this analysis. Of those 52.7% were males. The median duration of hospital stay was four days (IQR: 1–6).A total of 19 (25.7%) children died during the study period. The overall predicted mortality rate by the PIM- 3 score was 16.4%, giving an SMR of 1.56 (95% CI: 2.11, 3.95). The area under receiver operating characteristics (AUROC =0.84,95% CI: 0.75-0.95) .
Conclusion: The PIM-3 had a good discriminatory function can be used to prioritize care and for the assessment of the quality of care.
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pediatrics Index Mortality