The Values of the Pediatric Logistic Organ Dysfunction (PELOD) Score and the Pediatric Index of Mortality (PIM) 2 Score in Emergency Department and Intensive Care Unit
| Autor: | Woon Jeong Lee, Se Min Choi, Yeon Young Kyong, Won Jung Jeong, Kyu Nam Park, Seon Hee Woo, Yun Joo Moon, Si Kyoung Jeong |
|---|---|
| Rok vydání: | 2010 |
| Předmět: |
Pediatrics
medicine.medical_specialty Clinical variables Receiver operating characteristic business.industry Organ dysfunction Area under the curve Emergency department Intensive care unit law.invention Standardized mortality ratio law hemic and lymphatic diseases Emergency medicine medicine medicine.symptom business |
| Zdroj: | The Korean Journal of Critical Care Medicine. 25:144 |
| ISSN: | 1229-4802 |
| DOI: | 10.4266/kjccm.2010.25.3.144 |
| Popis: | Background: This study was conducted to compare two models of the pediatric logistic organ dysfunction (PELOD) score and the pediatric index of mortality (PIM) 2 score in the emergency department (ED) and intensive care unit (ICU). Methods: 90 pediatric patients who were admitted to the ICU in ED from January 2003 to December 2008 were enrolled in this study. PELOD score and PIM 2 score calculations were performed in the ED and ICU. We classified these patients into either the survivor or non-survivor groups and analyzed the clinical variables between two groups. We used Hosmer-Lemeshow goodness-of-fit tests to evaluate calibration, receiver operating characteristic (ROC) curves and standardized mortality ratio (SMR). Results: Among the 90 pediatric patients, 56 (62.2%) were male, and 9 (10.0%) patients died. Expected mortalities were PIM 2 = 10.35, PELOD = 8.33 in ED and PIM 2 = 8.84, PELOD = 8.26 in ICU. PIM 2 showed fit calibration (x 2 = 6.228, p = 0.622) in the ED. In the ICU, both PELOD and PIM 2 showed calibration (x 2 = 4.625, p = 0.185) and (x 2 = 7.616, p = 0.472), respectively. PIM 2 in ED showed the best discrimination, with area under the curve (AUC) = 0.949 (95% CI, 0.881−0.984). Conclusions: PIM 2 score in ED was fit. Also, PELOD and PIM 2 score in ICU was fit. But PELOD in ED was unfit. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|