Pediatric Index of Mortality 3—An Evaluation of Function Among ICUs In South Africa*
Objectives:
To evaluate the performance of the Pediatric Index of Mortality 3 as mortality risk assessment model.
Design:
This prospective study included all admissions 30 days to 18 years old for 12 months during 2016 and 2017. Data gathered included the following: age and gender, diagnosis and reason for PICU admission, data specific for the Pediatric Index of Mortality 3 calculation, PICU outcomes (death or survival), and length of PICU stay.
Setting:
Nine units that care for children within tertiary or quaternary academic hospitals in South Africa.
Patients:
All admissions 30 days to 18 years old, excluding premature infants, children who died within 2 hours of admission, or children transferred to other PICUs, and those older than 18 years old.
Interventions:
None.
Measurements and Main Results:
There were 3,681 admissions of which 2,253 (61.3%) were male. The median age was 18 months (interquartile range, 6–59.5 mo). There were 354 deaths (9.6%). The Pediatric Index of Mortality 3 predicted 277.47 deaths (7.5%). The overall standardized mortality ratio was 1.28. The area under the receiver operating characteristic curve was 0.81 (95% CI 0.79–0.83). The Hosmer-Lemeshow goodness-of-fit test statistic was 174.4 (p
Source: Pediatric Critical Care Medicine - Category: Pediatrics Tags: Clinical Investigation Source Type: research
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