Validation of the Pediatric Index of Mortality 3 in a Single Pediatric Intensive Care Unit in Korea.

作者: Ok Jeong Lee , Minyoung Jung , Minji Kim , Hae-Kyoung Yang , Joongbum Cho

DOI: 10.3346/JKMS.2017.32.2.365

关键词:

摘要: To compare mortality rate, the adjustment of case-mix variables is needed. The Pediatric Index Mortality (PIM) 3 score a widely used system pediatric intensive care unit (ICU), but there has been no validation study it in Korea. We aim to validate PIM3 Korean ICU, and extend from those aged 0-16 0-18 years, as patients 16-18 years are admitted ICU A retrospective cohort 1,710 was conducted tertiary ICU. score, discriminatory power assessed by calculating area under receiver-operating characteristic (ROC) curve, calibration evaluated Hosmer-Lemeshow goodness-of-fit (GOF) test. observed rate 8.47%, predicted 6.57%. For < 18 discrimination acceptable (c-index = 0.76) good, with χ² 9.4 GOF test (P 0.313). hemato-oncological subgroup high (18.73%), compared (7.13%), unacceptable 0.66). In conclusion, performed well However, application needs be cautioned. Further studies on performance adult ICUs primary secondary hospitals

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