P0148 / #1909: COMPARISON OF SCORING SYSTEMS IN TERTIARY PEDIATRIC INTENSIVE CARE UNIT

Abstract

Aims & Objectives: To compare the scoring systems in tertiary pediatric intensive care unit (PICU) in Turkey. Methods: Patients, admitted to the PICU from November 2018 to October 2019, were included. Demographic findings, lactate levels and the or pediatric risk of mortality (PRISM) 3, PRISM 4, pSOFA (pediatric sequential organ failure assessment), pediatric index of mortality 2 (PIM2), PELOD-2 (pediatric logistic organ dysfunction-2) in the first 24 hours at admission were recorded. Results: 326 patients (159 girls and 167 boys; mean age 55.5 months; IQR 1-213) were included and the mortality rate was 10.4%. Mean PRISM 3 score (3.2± 0.4 vs. 30.7 ± 6.0), PRISM 4 score (1.04 ± 0.08 vs. 12.2±4), pSOFA score (1.30 ± 0.11 vs. 7.02 ± 0.84), PIM2 score (2.83 ± 0.35/ vs. 26.6 ± 6.1) and PELOD-2 score (0.67 ± 0.18 vs. 22.4 ± 6.5) were higher among patients who died than the survivors (p<0.001, p<0.01, p<0.001, p<0.001 and p<0.01; respectively). Although all scoring systems were higher in patients who died; pSOFA had higher sensitivity comparing the other scoring systems, while lower specificity. Conclusions: The maximum pSOFA score in the first 24 hours at admission had better performance than other scoring systems for PICU mortality without classifying different disease groups. It would be useful to evaluate scoring systems in different disease groups and larger patient series.