Skip to main content

Performance of the Paediatric Index of Mortality 3 and Paediatric Logistic Organ Dysfunction 2 Scores in Critically Ill Children.

Publication ,  Journal Article
Wong, JJ; Hornik, CP; Mok, YH; Loh, TF; Lee, JH
Published in: Ann Acad Med Singap
August 2018

INTRODUCTION: The Paediatric Index of  Mortality 3 (PIM 3) and Paediatric Logistic Organ Dysfunction 2 (PELOD 2) scores were recently revised. We aimed to assess the performance of these scores in a contemporary cohort of critically ill children. MATERIALS AND METHODS: This is a single-centre prospective study conducted in a multidisciplinary paediatric intensive care unit (PICU). Consecutive PICU admissions over 1 year were included and admission PIM 3 and PELOD 2 scores were calculated. The performance of each of the scores was evaluated by calculating the area under the curve (AUC) of the receiver operating characteristic (ROC) and the Hosmer-Lemeshow goodness-of-fit test for the outcome of PICU mortality. RESULTS: A total of  570 patient admissions were eligible for this study. The median age of patients was 3.1 (interquartile range [IQR]: 0.4, 8.9 years). Overall median PIM 3 and PELOD 2 scores were 1.2 (IQR: 0.4, 3.2) % and 4 (IQR: 2, 7), respectively. The overall mortality rate was 35/570 (6.1%). The PIM 3 and PELOD 2 scores had good discrimination for mortality (AUCs 0.88 [95% confidence interval (CI) 0.85, 0.91] and 0.86 [95% CI 0.83, 0.89], respectively). Goodness-of-fit was satisfactory for both scores. Higher PIM 3 and PELOD 2 scores were also associated with decreasing ventilator and PICU-free days. CONCLUSION: PIM 3 and PELOD 2 scores are robust severity of illness scores that are generalisable to a contemporary cohort of critically ill children in Singapore.

Duke Scholars

Published In

Ann Acad Med Singap

EISSN

2972-4066

Publication Date

August 2018

Volume

47

Issue

8

Start / End Page

285 / 290

Location

Singapore

Related Subject Headings

  • Singapore
  • ROC Curve
  • Prospective Studies
  • Multiple Organ Failure
  • Intensive Care Units, Pediatric
  • Humans
  • Hospital Mortality
  • General & Internal Medicine
  • Critical Illness
  • Child, Preschool
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Wong, J. J., Hornik, C. P., Mok, Y. H., Loh, T. F., & Lee, J. H. (2018). Performance of the Paediatric Index of Mortality 3 and Paediatric Logistic Organ Dysfunction 2 Scores in Critically Ill Children. Ann Acad Med Singap, 47(8), 285–290.
Wong, Judith Jm, Christoph P. Hornik, Yee Hui Mok, Tsee Foong Loh, and Jan Hau Lee. “Performance of the Paediatric Index of Mortality 3 and Paediatric Logistic Organ Dysfunction 2 Scores in Critically Ill Children.Ann Acad Med Singap 47, no. 8 (August 2018): 285–90.
Wong JJ, Hornik CP, Mok YH, Loh TF, Lee JH. Performance of the Paediatric Index of Mortality 3 and Paediatric Logistic Organ Dysfunction 2 Scores in Critically Ill Children. Ann Acad Med Singap. 2018 Aug;47(8):285–90.
Wong, Judith Jm, et al. “Performance of the Paediatric Index of Mortality 3 and Paediatric Logistic Organ Dysfunction 2 Scores in Critically Ill Children.Ann Acad Med Singap, vol. 47, no. 8, Aug. 2018, pp. 285–90.
Wong JJ, Hornik CP, Mok YH, Loh TF, Lee JH. Performance of the Paediatric Index of Mortality 3 and Paediatric Logistic Organ Dysfunction 2 Scores in Critically Ill Children. Ann Acad Med Singap. 2018 Aug;47(8):285–290.

Published In

Ann Acad Med Singap

EISSN

2972-4066

Publication Date

August 2018

Volume

47

Issue

8

Start / End Page

285 / 290

Location

Singapore

Related Subject Headings

  • Singapore
  • ROC Curve
  • Prospective Studies
  • Multiple Organ Failure
  • Intensive Care Units, Pediatric
  • Humans
  • Hospital Mortality
  • General & Internal Medicine
  • Critical Illness
  • Child, Preschool