| dc.description.abstract | Background: Critical illness is collection conditions and disorders that have
impact on the occurrence of organ dysfunction, prolonged morbidity and
mortality. Score of mortality objectively calculates the severity of disease and
predicts risk of mortality according to the clinical condition of patient. Today,
no standardized scoring system that used in PICU for initial assessment of
patients in Indonesia yet.
Objective: Comparing mortality’s predictor ability between PRISM III and
PRISM IV score as predictors of mortality in critically ill children at PICU Haji
Adam Malik Hospital Medan.
Methods: Prospective cohort study was conducted in PICU of Haji Adam
Malik General Hospital from September 2020 to March 2021. Characteristics
of the sample were obtained through the medical record of patients treated in
PICU. Assessment of PRISM IV and PELOD-2 score was carried out on the
first and third days of patient being admitted in PICU.
Results: Retrospective study was conducted from March 2022 to August
2022. Characteristics of the sample were obtained through the medical record
of patients treated in PICU. Assessment of PRISM III and PRISM IV score
was carried out on the first 4 hours patient being admitted in PICU. Based on
the study, there was 54 children who were treated. There were 19 (35,2%)
treated with respiratory problems. There were 30 (55,6%) children died.
PRISM III and PRISM IV could predict mortality of children with critical illness
with area under curve respectively 74,2% and 90,1%. From Chi Square test,
PRISM IV with cutoff point 5,5 has relative risk value 3,538.
Conclusion: PRISM IV score could predict mortality better than PRISM III of
critically ill children at PICU Haji Adam Malik Hospital Medan. | en_US |
