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An Evaluation of the Efficacy of Pediatric Risk of Mortality in Determining the Prognosis of Patients Admitted to the Pediatric Intensive Care Unit of Namazi Hospital in Shiraz
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A Rashidizarandi    , Kh Aflaki * , Z Serati |
| Department of Pediatric Critical Care Medicine, School of Medicine, Shiraz University of Medical Sciences, Shiraz, I.R.Iran , aflakik@yahoo.com |
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Abstract: (3914 Views) |
BACKGROUND AND OBJECTIVE: Neonatal period is very important and newborns are highly vulnerable in this period. Providing, maintaining and improving the health status of newborns has a special role in health services and is one of the important health indices. The aim of this study is to evaluate the efficacy of pediatric risk of mortality in determining the prognosis of patients admitted to the pediatric intensive care unit of Namazi Hospital in Shiraz.
METHODS: This prospective, cohort study was conducted among 240 patients aged 1 month to 4 years old admitted to the pediatric intensive care unit of the Namazi Hospital in Shiraz during a six month period. Participant information was collected using a researcher-made questionnaire, including demographic information, main diagnosis during hospitalization, duration of admission, use or non-use of mechanical ventilation, presence and absence of infectious disease in the patient and the variables related to the PRISM III system (0-30). The mortality rate was calculated and the results were considered as death or discharge.
FINDINGS: Of 240 patients, 123 were boys and 117 were girls with a mean age of 30.41 ± 54.98 months. 20.37% of patients had infectious diseases, 19.9% had nervous system disease and 17.7% had respiratory system disorders, while 44 patients died during the study. PRISM scores ranged from 0 to 10 in 73.5% of the patients, from 11 to 20 in 24.9% of the patients, and from 20 to 30 in 1.6% of patients. In addition, 11.3% of deaths were observed in patients with PRISM scores from 0 to 10, and 100% of deaths were observed in patients with PRISM scores from 21 to 30.
CONCLUSION: Based on the results of this study, using the modified PRISM III system at the early childhood in the pediatric intensive care unit can predict children's mortality rates and reduce their mortality. |
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| Keywords: PRISM, Mortality, Intensive care unit, Children |
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Full-Text [PDF 261 kb]
(1015 Downloads)
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Type of Study: Cross Sectional |
Subject:
Children
Received: 2017/12/6 | Accepted: 2018/07/17 | Published: 2018/07/22
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