Publication:
Applicability of Paediatric Index of Mortality 2 Score to Predict Outcome in Children Admitted to Paediatric Intensive Care Unit

creativeworkseries.issnISSN 1990-7974 eISSN 1990-7982
dc.contributor.authorAroor, Shrikiran
dc.contributor.authorKumar, Sandeep
dc.contributor.authorKini, Pushpa
dc.contributor.authorMundkur, Suneel
dc.date.accessioned2026-01-06T08:51:54Z
dc.date.available2026-01-06T08:51:54Z
dc.date.issued2018
dc.descriptionShrikiran Aroor Professor, Department of Paediatrics, Kasturba Medical College, Manipal, Manipal Academy of Higher Education http://orcid.org/0000-0002-8397-450X Sandeep Kumar Assistant Professor,Department of Pediatrics,Kasturba Medical College, Manipal, Manipal Academy of Higher Education http://orcid.org/0000-0002-8781-4167 Pushpa Kini Professor, Department of Paediatrics, Kasturba Medical College, Manipal, Manipal Academy of Higher Education Suneel Mundkur Associate Professor, Department of Paediatrics, Kasturba Medical College, Manipal, Manipal Academy of Higher Education https://orcid.org/0000-0003-3266-2677
dc.description.abstractAbstract: Introduction: Research on critically ill children admitted to the intensive care unit has shown the usefulness of Paediatric Index of Mortality 2 (PIM2) score at admission to predict outcome. This study was conducted to estimate PIM2 score in children admitted to Paediatric Intensive Care Unit and its correlation with clinical outcome. Methods: This prospective observational study was conducted in children of age group one month to 18 years admitted to the paediatric intensive care unit of a tertiary care hospital. Data including demographics, diagnostic categories, duration of hospital stay, predicted death rate (PDR) measured by PIM2 score was compared between survivors and non survivors. Logistic regression analysis was performed to arrive at a risk adjusted relationship between the different predictor variables and the probability of death. Results: Consecutive 130 children admitted to PICU during the study period were enrolled. The mean PDR (%) of the total study population was 22.4 ± 10.60. The mean PDR in survivors was 12.4 ± 7.80 while the PDR in non survivors was 44.2 ± 12.62 (p value < 0.001). Children with PDR < 1% had a mortality rate of 2.4% when compared to 71.4% in children with PDR > 5% (p value < 0.001). PDR by PIM2 score and the presence of hypo-albuminemia remained significant even after adjusting for age in multivariate logistic regression analysis. Conclusion: PDR measured by PIM2 score differentiated well between survivors and non survivors in PICU. The predicted death rate was less than the observed death rate. PIM2 score is a useful tool to assess the severity of illness and predict outcome.
dc.identifier.urihttps://hdl.handle.net/20.500.14572/4096
dc.language.isoen_US
dc.publisherNepal Paediatric Society (JNPS)
dc.subjectcritically ill
dc.subjectmechanical ventilation
dc.subjectPIM2 score
dc.subjectpredicted death rate
dc.titleApplicability of Paediatric Index of Mortality 2 Score to Predict Outcome in Children Admitted to Paediatric Intensive Care Unit
dc.typeArticle
dspace.entity.typePublication
local.article.typeOriginal Article
oaire.citation.endPage152
oaire.citation.startPage149
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relation.isJournalOfPublication6f9be05c-05a9-4a3e-a5b5-a19a15ab042c

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