The pediatric risk of mortality III— Acute physiology score (PRISM III-APS): A method of assessing physiologic instability for pediatric intensive care unit patients

摘要: Abstract Objective: To develop a physiology-based measure of physiologic instability for use in pediatric patients that has an expanded scale compared with the Pediatric Risk Mortality (PRISM) III score. Study design: Data were collected from consecutive admissions to 32 ICUs (11,165 admission, 543 deaths). Patient-level data included data, outcomes, descriptive information, and diagnoses. Physiologic most abnormal values first 24 hours ICU stay 27 variables. Initially, ranges each variable evaluated their association mortality. A multivariate logistic regression analysis was used determine final variables ranges. Integer scores reflecting relative contribution mortality risk assigned Results: total 59 21 selected. This score is called III—Acute Physiology Score (PRISM III-APS). increased as PRISM III-APS increased. Most have less than 10, these 1%. At other extreme, rate 137 greater 80 97%. Conclusion: The been validated against Compared III, should be more sensitive small changes status. (J Pediatr 1997;131:575-81)