Critical Analysis of PIM2 Score Applicability in a Tertiary Care PICU in Western India
Joint Authors
Phatak, Ajay G.
Nimbalkar, Somashekhar M.
Ganjiwale, Jaishree D.
Shukla, Vivek V.
Source
International Journal of Pediatrics
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-04-27
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Objective.
Children have limited physiological reserve that deteriorates rapidly.
Present study profiled patients admitted to PICU and determined PIM2 score applicability in Indian setting.
Patients and Methods.
Prospective observational study.
Results.
In 742 consecutive admissions, male : female ratio was 1.5 : 1, 35.6% patients were ventilated, observed mortality was 7%, and 26.4% were <1 year.
The profile included septicemia and septic shock (29.6%), anemia (27.1%), pneumonia (19.6%), and meningitis and encephalitis (17.2%).
For the first year, sensitivity of PIM2 was 65.8% and specificity was 71% for cutoff value at 1.9 by ROC curve analysis.
The area under the curve was 0.724 (95% CI: 0.69, 0.76).
This cutoff was validated for second year data yielding similar sensitivity (70.6%) and specificity (65%).
Logistic regression analysis (LRA) over entire data revealed various variables independently associated with mortality along with PIM2 score.
Another logistic model with same input variables except PIM2 yielded the same significant variables with Nagelkerke R square of 0.388 and correct classification of 78.5 revealing contribution of PIM2 in predicting mortality is meager.
Conclusion.
Infectious diseases were the commonest cause of PICU admission and mortality.
PIM2 scoring did not explain the outcome adequately, suggesting need for recalibration.
Following PALS/GEM guidelines was associated with better outcome.
American Psychological Association (APA)
Shukla, Vivek V.& Nimbalkar, Somashekhar M.& Phatak, Ajay G.& Ganjiwale, Jaishree D.. 2014. Critical Analysis of PIM2 Score Applicability in a Tertiary Care PICU in Western India. International Journal of Pediatrics،Vol. 2014, no. 2014, pp.1-7.
https://search.emarefa.net/detail/BIM-491878
Modern Language Association (MLA)
Shukla, Vivek V.…[et al.]. Critical Analysis of PIM2 Score Applicability in a Tertiary Care PICU in Western India. International Journal of Pediatrics No. 2014 (2014), pp.1-7.
https://search.emarefa.net/detail/BIM-491878
American Medical Association (AMA)
Shukla, Vivek V.& Nimbalkar, Somashekhar M.& Phatak, Ajay G.& Ganjiwale, Jaishree D.. Critical Analysis of PIM2 Score Applicability in a Tertiary Care PICU in Western India. International Journal of Pediatrics. 2014. Vol. 2014, no. 2014, pp.1-7.
https://search.emarefa.net/detail/BIM-491878
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-491878