Prism 111
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Prism score of pediatric mortality 1 Prism score of pediatric mortality The Pediatric Risk of Mortality (PRISM) score was developed from the Physiologic Stability Index (PSI) [1] to reduce the number of physiologic variables required for pediatric intensive-care unit (PICU) mortality risk assessment, from 34 (in the PSI) to 14, [2] and to obtain an objective weighting of the remaining variables. PRISM III, an updated version of the scoring system published in 1996, has several improvements over the original PRISM. However, it is only available under licence and is not widely used outside of the United States. [3] PRISM III score has 17 physiologic variables subdivided into 26 ranges. The variables most predictive of mortality were minimum systolic blood pressure, abnormal pupillary reflexes, and stupor/coma. References [1] Robert L Chatburn and Eduardo Mireles-Cabodevila (2010). Handbook of Respiratory Care (3rd ed.). Jones & Bartlett Learning. pp. 14. ISBN 9780763784096. [2] Jack E. Zimmerman (1996). "Managing the Internal Evaluation Process". In William J. Sibbald, Thomas A. Massaro, and Diane M. McLeod. The business of critical care: a textbook for clinicians who manage special care units. Wiley-Blackwell. pp. 175. ISBN 9780879936235. [3] Marino Festa and Bert Derkx (2001). "Clinical Scoring Systems in Meningococcal Disease". In Andrew J. Pollard and Martin C. J. Maiden. Meningococcal disease: methods and protocols. Methods in molecular medicine. 67. Humana Press. pp. 413. ISBN 9780896038493. Further reading • Ralph D. Feigin (2004). Textbook of pediatric infectious diseases. 2 (5th ed.). Elsevier Health Sciences. pp. 2878. ISBN 9780721693293. • Murray M. Pollack, Urs E. Ruttimann, and Pamela R. Getson (November 1988). "Pediatric risk of mortality (PRISM) score". Critical Care Medicine (Williams & Wilkins) 16 (11): 1110–1116. doi:10.1097/00003246-198811000-00006. PMID 3048900. • Murray M. Pollack, Kantilal M. Patel, and Urs E. Ruttimann (May 1996). "PRISM III: An updated Pediatric Risk of Mortality score". Critical Care Medicine (Williams & Wilkins) 24 (5): 743–752. • Murray M. Pollack, Kantilal M. Patel, and Urs E. Ruttimann (October 1997). "The pediatric risk of mortality III – Acute physiology score (PRISM III–APS): A method of assessing physiologic instability for pediatric intensive care unit patients". Journal of Pediatrics 131 (4): 575–581. doi:10.1016/S0022-3476(97)70065-9. • A. Slater and F. Shann F (September 2004). "The suitability of the Pediatric Index of Mortality (PIM), PIM2, the Pediatric Risk of Mortality (PRISM), and PRISM III for monitoring the quality of pediatric intensive care in Australia and New Zealand". Pediatr Critical Care Medicine 5 (5): 447–454. doi:10.1097/01.PCC.0000138557.31831.65. PMID 15329160.
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Prism score of pediatric mortality
Transcript of Prism 111
Prism score of pediatric mortality 1
Prism score of pediatric mortalityThe Pediatric Risk of Mortality (PRISM) score was developed from the Physiologic Stability Index (PSI)[1] toreduce the number of physiologic variables required for pediatric intensive-care unit (PICU) mortality riskassessment, from 34 (in the PSI) to 14,[2] and to obtain an objective weighting of the remaining variables.PRISM III, an updated version of the scoring system published in 1996, has several improvements over the originalPRISM. However, it is only available under licence and is not widely used outside of the United States.[3]
PRISM III score has 17 physiologic variables subdivided into 26 ranges. The variables most predictive of mortalitywere minimum systolic blood pressure, abnormal pupillary reflexes, and stupor/coma.
References[1] Robert L Chatburn and Eduardo Mireles-Cabodevila (2010). Handbook of Respiratory Care (3rd ed.). Jones & Bartlett Learning. pp. 14.
ISBN 9780763784096.[2] Jack E. Zimmerman (1996). "Managing the Internal Evaluation Process". In William J. Sibbald, Thomas A. Massaro, and Diane M. McLeod.
The business of critical care: a textbook for clinicians who manage special care units. Wiley-Blackwell. pp. 175. ISBN 9780879936235.[3] Marino Festa and Bert Derkx (2001). "Clinical Scoring Systems in Meningococcal Disease". In Andrew J. Pollard and Martin C. J. Maiden.
Meningococcal disease: methods and protocols. Methods in molecular medicine. 67. Humana Press. pp. 413. ISBN 9780896038493.
Further reading• Ralph D. Feigin (2004). Textbook of pediatric infectious diseases. 2 (5th ed.). Elsevier Health Sciences. pp. 2878.
ISBN 9780721693293.• Murray M. Pollack, Urs E. Ruttimann, and Pamela R. Getson (November 1988). "Pediatric risk of mortality
(PRISM) score". Critical Care Medicine (Williams & Wilkins) 16 (11): 1110–1116.doi:10.1097/00003246-198811000-00006. PMID 3048900.
• Murray M. Pollack, Kantilal M. Patel, and Urs E. Ruttimann (May 1996). "PRISM III: An updated Pediatric Riskof Mortality score". Critical Care Medicine (Williams & Wilkins) 24 (5): 743–752.
• Murray M. Pollack, Kantilal M. Patel, and Urs E. Ruttimann (October 1997). "The pediatric risk of mortality III –Acute physiology score (PRISM III–APS): A method of assessing physiologic instability for pediatric intensivecare unit patients". Journal of Pediatrics 131 (4): 575–581. doi:10.1016/S0022-3476(97)70065-9.
• A. Slater and F. Shann F (September 2004). "The suitability of the Pediatric Index of Mortality (PIM), PIM2, thePediatric Risk of Mortality (PRISM), and PRISM III for monitoring the quality of pediatric intensive care inAustralia and New Zealand". Pediatr Critical Care Medicine 5 (5): 447–454.doi:10.1097/01.PCC.0000138557.31831.65. PMID 15329160.
Article Sources and Contributors 2
Article Sources and ContributorsPrism score of pediatric mortality Source: http://en.wikipedia.org/w/index.php?oldid=400786752 Contributors: Eeekster, RHaworth, Tinton5, Tusgod, Uncle G
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