Pediatric Index of Mortality 2 score in Italy: a multicenter, prospective, observational study
- 5 June 2007
- journal article
- research article
- Published by Springer Science and Business Media LLC in Intensive Care Medicine
- Vol. 33 (8), 1407-1413
- https://doi.org/10.1007/s00134-007-0694-z
Abstract
To assess the performance of the Pediatric Index of Mortality (PIM) 2 score in Italian pediatric intensive care units (PICUs). Prospective, observational, multicenter, 1-year study. Eighteen medical–surgical PICUs. Consecutive patients (3266) aged 0–16 years admitted between 1 March 2004 and 28 February 2005. None. To assess the performance of the PIM2 score, discrimination and calibration measures were applied to all children admitted to the 18 PICUs, in the entire population and in different groups divided for deciles of risk, age and admission diagnosis. There was good discrimination, with an area under the receiver operating characteristic (ROC) curve of 0.89 (95% CI 0.86–0.91) and good calibration of the scoring system [non-significant differences between observed and predicted deaths when the population was stratified according to deciles of risk (χ2 9.86; 8 df, p = 0.26) for the whole population]. The PIM2 score performed well in this sample of the Italian pediatric intensive care population. It may need to be reassessed in the injury and postoperative groups in larger studies.Keywords
This publication has 25 references indexed in Scilit:
- Assessment and Optimization of Mortality Prediction Tools for Admissions to Pediatric Intensive Care in the United KingdomPEDIATRICS, 2006
- Applicability of the Australian and New Zealand Paediatric Intensive Care Registry diagnostic codes and Paediatric Index of Mortality 2 scoring system in a Croatian paediatric intensive care unitEuropean Journal of Pediatrics, 2005
- What Can We Do to Improve Child Health in Southern Italy?PLoS Medicine, 2005
- The suitability of the Pediatric Index of Mortality (PIM), PIM2, the Pediatric Risk of Mortality (PRISM), and PRISM III for monitoring the quality of pediatric intensive care in Australia and New ZealandPediatric Critical Care Medicine, 2004
- A comparison of three scoring systems for mortality risk among retrieved intensive care patientsArchives of Disease in Childhood, 2002
- Pediatric Risk of MortalityCritical Care Medicine, 1998
- Comparative assessment of pediatric intensive careCritical Care Medicine, 1995
- Pediatric intensive care unitsCritical Care Medicine, 1993
- Pediatric risk of mortality (PRISM) scoreCritical Care Medicine, 1988
- STATISTICAL METHODS FOR ASSESSING AGREEMENT BETWEEN TWO METHODS OF CLINICAL MEASUREMENTThe Lancet, 1986