Implementation of the Pediatric Index of Mortality 3 and the pediatric Sequential Organ Failure Assessment in an intensive care unit in Mexico.

Autor:	Camarena-Vielma L; Hospital Civil de Guadalajara Dr. Juan I. Menchaca, División de Pediatría, Unidad de Cuidados Intensivos Pediátricos, Guadalajara, México., Lona-Reyes JC; Hospital Civil de Guadalajara Dr. Juan I. Menchaca, División de Pediatría, Infectología Pediátrica, Guadalajara, México.; Universidad de Guadalajara, Centro Universitario de Tonalá, Tonalá, México. carloslona5@hotmail.com., Vázquez-Bojórquez MS; Universidad de Guadalajara, Centro Universitario de Ciencias de la Salud, Guadalajara, México., Ramos-Gutiérrez RY; Hospital Civil de Guadalajara Dr. Juan I. Menchaca, División de Pediatría, Urgencias Médicas Pediátricas, Guadalajara, México., Jiménez-Texcalpa ME; Hospital Civil de Guadalajara Dr. Juan I. Menchaca, División de Pediatría, Unidad de Cuidados Intensivos Pediátricos, Guadalajara, México., Alatorre-Rendón F; Hospital Civil de Guadalajara Dr. Juan I. Menchaca, División de Pediatría, Unidad de Cuidados Intensivos Pediátricos, Guadalajara, México., Gallegos-Marín JA; Universidad de Guadalajara, Centro Universitario de Ciencias de la Salud, Guadalajara, México.
Jazyk:	English; Spanish; Castilian
Zdroj:	Archivos argentinos de pediatria [Arch Argent Pediatr] 2022 Oct; Vol. 120 (5), pp. 332-335. Date of Electronic Publication: 2022 Aug 16.
DOI:	10.5546/aap.2022.eng.332
Abstrakt:	Introduction: The study objective was to analyze the Pediatric Index of Mortality 3 (PIM 3) and the pediatric Sequential Organ Failure Assessment (pSOFA) for the prediction of mortality. Objective: Observational, prospective study; patients aged 1 month to 17.9 years were included. Assessment of area under the curve (AUC) accuracy and estimation of standardized mortality rate. Results: A total of 244 admissions were studied: median age was 60 months. The main diagnoses were solid or hematologic neoplasms (26.5%). The mortality by admission was 18% (44/244). The AUC was 0.77 for PIM 3 and 0.81 for pSOFA; both scales showed an adequate calibration (p > 0.05). The standardized mortality rate was 1.91. Conclusions: We identified that the PIM 3 and pSOFA have an acceptable discrimination power. The calibration of the PIM 3 was not adequate in patients with solid or hematologic neoplasms. Competing Interests: None. (Sociedad Argentina de Pediatría.)
Databáze:	MEDLINE
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