Abstract Ref Number = APCP1181
COMPARISON OF THE PIM 2 AND PELOD 2 SCORES IN PREDICTING MORTALITY IN PEDIATRIC INTENSIVE CARE UNIT
Bangkit Putrawan, Bangkit Putrawan,Dwi Putri Lestari,Arina Setyaningtyas ,Neurinda Permata Kusumastuti ,Ira Dharmawati,Abdul Latief Azis
Department of Child Health Faculty of Medicine Universitas Airlangga Dr Soetomo Hospital Surabaya Indonesia Department of Child Health, Faculty of Medicine, Universitas Airlangga Dr Soetomo Hospital Surabaya, Indonesia
Background : Mortality is considered essential to be assessed in intensive care unit to evaluate its performance. Several tools have been used for predicting mortality. However, different severity and resources availability are presumed to affect their performances. The aim of this study is to compare the performances of the Pediatric Index of Mortality (PIM) 2, and Pediatric Logistic Organ Dysfunction (PELOD) 2 score in predicting mortality in Pediatric Intensive Care Unit (PICU) in Dr Soetomo Hospital.
Material : All patient admitted to PICU in Soetomo Hospital between January to April 2018 were included. The variables needed to calculate PIM 2 and PELOD 2 score were routinely collected at admission. Patient with insufficient data were excluded. Ability for discriminating mortality were assessed by calculating area under receiver-operating characteristic curve (AUC). Calibration of both score were assessed by Hosmer lemeshow goodness of fit test.
Results : A total of 116 critically ill children in PICU included, of which 23 patient were excluded due to insufficient data. Remaining 93 patient, consisted of 68 (73.1%) patients survived and 25 (26.9%) patients died. PIM 2 showed higher AUC with 0.855 (0.756-0.934,CI 95%, P=0.000), PELOD 2 score showed fair AUC with 0.777 (0.670-0.884, CI 95%, P=0.000). Hosmer lemeshow test showed a chi square of 8.199 (P=0.414) for PIM 2, and 7.723 (P=0.259) for PELOD 2.
Conclusions : PIM 2 demonstrated better performance than PELOD 2 score for predicting mortality. Both PIM 2 and PELOD 2 demonstrated good calibration performance.
Keywords: Pediatric index of mortality pediatric intensive care unit Pediatric Logistic Organ Dysfunction risk of mortality