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2010, Number 3

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Rev Mex Pediatr 2010; 77 (3)

Scores of mortality (PRISM and PIM) and leavel of blood lactate of children in a PICU

Morales SHN, Garza AAG, Rodríguez VI, Maltos VW, De la O CME

Language: Spanish
References: 11
Page: 111-114
PDF size: 133.64 Kb.


ABSTRACT

Objective. To compare the prognosis of mortality PRISM and PIM with the scores in comparison with the blood levels of lactate at admission of patients at PICU.
Material and methods. 113 children of 1 month to 15 years of age of the PICU were studied. We analyzed age, gender, diagnosis at admission, days of stay, and state at discharge of PICU (alive or death), we also included PRISM, PIM and blood lactate value at ad-mission
Results: The last 3 markers have a correlation with a high mortality but PIM and lactate had have the higher statistical significance.
Conclusions: The prognosis by the PIM marker and the blood lactate used as a marker, can be used for the prognosis mortality in our PICU.


REFERENCES

  1. Gemke RJ, Van Vught J. Scoring system in pediatric intensive care: PRISM III versus PIM. Intensive Care Med 2002; 28: 204-7.

  2. Prieto S, López J, Rey GA, Medina A, Concha T, Martínez P. Índices pronósticos de mortalidad en cuidados intensivos pediátricos. An Pediatr (Barc) 2007; 66(4): 345-50.

  3. Pollack MM, Ruttimann EU, Getson PR. Pediatric risk of mortality (PRISM) score. Crit Care Med 1988; 16: 1110-6.

  4. Pollack MM, Patel KM, Ruttiman EU. PRISM III: An updated pediatric risk of mortality score. Crit Care Med 1996; 24: 743-52.

  5. Shann F, Pearson G, Slater A, Wilkinson K. Paediatric index of mortality (PIM): A mortality prediction model for children in intensive care. Intensive Care Med 1997; 23: 201-7.

  6. Slater A, Shann F, Pearson G. PIM2: A revised version of the paediatric Index of Mortality. Intensive Care Med 2003; 29: 278-85.

  7. García SR, Rupez LM, López-Herce CJ, Vigil ED, Garrido CG. Valor pronóstico de la puntuación PIM y del ácido láctico en niños críticamente enfermos. An Esp Pediatr 2002; 57: 394-400.

  8. Eulmesekian PG, Pérez A, Minces PG, Ferrero H. Validation of pediatric index of mortality 2 in a single pediatric intensive care unit of Argentina. Pediatr Crit Care Med 2007; (1): 54-7.

  9. Choi KM, Ng DK, Wong SF et al. Assessment of the pediatric index of mortality (PIM) and the pediatric risk of mortality (PRISM) III score for prediction of mortality in a pediatric intensive care unit in Hong Kong. Med J 2005; 11: 97-103.

  10. Ozer EA, Kizilgunesler A, Sarioglu B, Halicioglu O, Sutcouoglu S, Yaprak I. The comparison of PRISM and PIM scoring systems for mortality risk in infantile intensive care. J Trop Pediatric 2004; 50: 334-8.

  11. Vanessa MF, Ramos GPC, Jefferson JP, Paulo RE, Francisco B, Viviane R. Comparison of two prognostic scores (PRISM vs PIM) at a pediatric intensive care unit. J Pediatr (Rio J) 2005; 81(3): 259-64.




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