Pediatric Index of Mortality (PIM) 2 Score as Predictor of Mortality in PICU

Dr. D. Barkavi, Dr. Sonal Shah

Abstract: This is a prospective type of study done in paediatric intensive care unit (PICU) in GGH hospital, Jamnagar from January 2022 to October 2022 .Total 100 patients aged 1month to 12 yrs were included in this study as per inclusion and exclusion criteria. Data including demographics, diagnostic categories, duration of hospital stay, 10 variables, predicted death rate (PDR) measured by PIM 2 score was compared between survivors and non survivors. Using logistic regression analysis PIM 2 logit score was calculated and compared with the observed mortality value. In our study we found mortality is high among infants (50 %), M:F ratio is 1.3 : 1, respiratory diseases were major cause of admission in PICU(33%) , mortality was high among CNS disease (58%), Using ROC , cutoff for pim2 score was calculated was 99.8 , which predicts mortality with highest possible sensitivity and specificity , P value- 0.0031.Association factors such as presence of shock (odds ratio ? 40, P value- 0.002), need for mechanical ventilation (odds ratio -38, P value -0.0001), GCS < 8 (odds ratio-16 , P value ? 0.0015), were found to be significantly associated with the mortality , which was proven by odds ratio and P value.

Keywords: PIM 2 score, mortality, Predicted death rate, PDR, Glasgow coma scale, GCS, receiver operator curve, ROC

How to Cite?: Dr. D. Barkavi, Dr. Sonal Shah, "Pediatric Index of Mortality (PIM) 2 Score as Predictor of Mortality in PICU", Volume 12 Issue 2, February 2023, International Journal of Science and Research (IJSR), Pages: 729-734, https://www.ijsr.net/getabstract.php?paperid=SR23212022613, DOI: https://dx.doi.org/10.21275/SR23212022613