Abstract
Background: The pediatric risk of mortality (PRISM) score predicts mortality in the pediatric intensive care unit (PICU). This study aimed to evaluate the application of PRISM score as a predictor of mortality in intensive care units of a tertiary hospital.
 Methodology: A descriptive cross-sectional study of one year was conducted within the Department of Pediatrics at Ziauddin University and Hospital, located in Karachi, Pakistan. The total number of 263 admitted neonates and children up to the age of 12 years were included. Patients more than 12 years of age admitted in wards and plane for any surgery were excluded from the study; the PRISM score tool was used to collect the data of the neonates and children.
 Results: The mean PRISM score was high among non-survivors (15.3 ± 7.2) as compared to survivors (12.7 ± 9.2) (p=0.023). The predictability of the PRISM score regarding pediatric mortality was shown by the area under the curve (AUC) i.e., 0.636.
 Conclusion: The PRISM score found a significant difference between survival and death groups. Therefore the implication of the PRISM score can be needed in PICU to reduce the mortality rate.
Highlights
Advance technologies in pediatric intensive care unit (PICU) (Pediatric Intensive Care Units) can be more sophisticated to improve the quality of patient care and augment life expectancy, prolong the death process and improve the quality of life
The rationale of this study is to evaluate the association between the observed result and mortality and survival rates by pediatric risk of mortality (PRISM) score in a tertiary PICU at the tertiary care hospital Dr Ziauddin Hospital Karachi
The predictability of the PRISM score regarding pediatric mortality was shown by the area under the curve (AUC), i.e., 0.636 (63%), as shown in figure 1
Summary
Advance technologies in PICU (Pediatric Intensive Care Units) can be more sophisticated to improve the quality of patient care and augment life expectancy, prolong the death process and improve the quality of life. The PRISM Score is an established tool used to estimate the risk of death in the pediatric intensive care unit (PICU)[1]. The application of the PRISM score will not be uniform according to the variability in PICU settings[3]. The pediatric risk of mortality (PRISM) score predicts mortality in the pediatric intensive care unit (PICU). This study aimed to evaluate the application of PRISM score as a predictor of mortality in intensive care units of a tertiary hospital. Patients more than 12 years of age admitted in wards and plane for any surgery were excluded from the study; the PRISM score tool was used to collect the data of the neonates and children. The predictability of the PRISM score regarding pediatric mortality was shown by the area under the curve (AUC) i.e., 0.636. The implication of the PRISM score can be needed in PICU to reduce the mortality rate
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