Poor discriminatory performance of the Pediatric Risk of Mortality (PRISM) score in a South African intensive care unit

Critical Care Medicine

Volumn 24, Issue 9, 1996, Pages 1507-1513

  Wells, Mike ^a   Riera Fanego, Jacinto F ^a   Luyt, David K ^a   Dance, Melanie ^a   Lipman, Jeffrey ^a  

^a UNIVERSITY OF THE WITWATERSRAND   (South Africa)

Author keywords

demographics; outcome prediction; pediatric risk of mortality; pediatrics; resource utilization; severity of illness index; South Africa

Indexed keywords

ARTICLE; CHILD; CHILDHOOD MORTALITY; DIAGNOSTIC ACCURACY; HUMAN; INTENSIVE CARE; MAJOR CLINICAL STUDY; POPULATION RESEARCH; PRIORITY JOURNAL; RISK ASSESSMENT; SCORING SYSTEM; SOUTH AFRICA; STATISTICAL ANALYSIS;

EID: 0029787889     PISSN: 00903493     EISSN: None     Source Type: Journal    
DOI: 10.1097/00003246-199609000-00013     Document Type: Article

References (24)

1. Pollack MM, Ruttimann UE, Getson PR: Pediatric risk of mortality (PRISM) score. Crit Care Med 1988; 16:1110-1116
2. Gemke RJBJ, Bonsel GJ, van Vught AJ: Effectiveness and efficiency of a Dutch pediatric intensive care unit: Validity and application of the Pediatric Risk of Mortality score. Crit Care Med 1994; 22:1477-1484
3. Pollack MM, Wilkinson JD, Glass NL: Long-stay pediatric intensive care unit patients: Outcome and resource utilization. Pediatrics 1987; 80:855-860
4. Kollef MH, Schuster DP: Predicting intensive care unit outcomes with scoring systems. Crit Care Clin 1994; 10:1-18
5. McAloon J, Crean P, Jenkins J, et al: Evaluation of pediatric intensive care in a regional centre. Arch Dis Child 1991; 66:1043-1046
6. Pollack MM, Guerdon TC, Getson PR: Pediatric intensive care unit: Results of a national survey. Crit Care Med 1993; 21:607-614
7. Groeger JS, Guntupalli KK, Strosberg M, et al: Descriptive analysis of critical care units in the Unites States: Patient characteristics and intensive care utilization. Crit Care Med 1993; 21:279-291
8. Pollack MM, Getson PR, Ruttimann UE, et al: Efficiency of intensive care. A comparative analysis of eight pediatric intensive care units. JAMA 1987; 258: 1481-1486
9. Ruttimann UE, Pollack MM: Objective assessment of changing mortality risk in pediatric intensive care unit patients. Crit Care Med 1991;19:474-483
10. Suter P: Consensus conference organized by the ESICM and the SRLF. Predicting outcome in ICU patients. Intensive Care Med 1994; 20:390-397
11. Proulx F, Gauthier M, Nadeau D, et al: Timing and predictors of death in pediatric patients with multiple organ system failure. Crit Care Med 1994; 22: 1025-1031
12. Wilkinson JD, Pollack MM, Ruttimann UE, et al: Outcome of pediatric patients with multiple organ system failure. Crit Care Med 1986; 14:271-274
13. Balakrishnan G, Aitchison T, Hallwoth D, et al: Prospective evaluation of the Pediatric Risk of Mortality (PRISM) score. Arch Dis Child 1992; 67:196-200
14. Keene AR, Cullen DJ: Therapeutic intervention scoring system: Update 1983. Crit Care Med 1983; 11:1-3
15. Lemeshow S, Hosmer DW: A review of goodness-of-fit statistics for use in the development of logistic regression models. Am J Epidemiol 1982; 115:92-106
16. Ruttiman UE: Statistical approaches to development and validation of predictive instruments. Crit Care Clin 1994; 10:19-35
17. Centor RM, Keightley J: The ROC Analyzer Version 6.0, 1991
18. Hanley JA, McNeil BJ: A method of comparing the areas under receiver operating characteristic curves derived from the same cases. Radiology 1983; 148:839-843
19. Pollack MM, Ruttimann UE, Getson PR, et al: Accurate prediction of the outcome of pediatric intensive care. A new quantitative method. N Engl J Med 1987; 316:134-139
20. Perkins HS, Jonsen AR, Epstein WV: Providers as predictors: Using outcome prediction in intensive care. Crit Care Med 1986; 14:105-108
21. Goddard JM: Pediatric risk of mortality scoring overestimates severity of illness in children. Crit Care Med 1992; 20:1662-1665
22. Hansen GBL: Nutritional disorders. In: Paediatrics and Child Health - A Handbook for Health Professionals in the Third World. Second Edition. Coovadia HM, Loening WEK (Eds). London, Oxford University Press, 1988, pp 111-133
23. Pollack MM, Ruttiman UE, Wiley JS: Nutritional depletions in critically ill children: Associations with physiologic instability and increased quantity of care. JPEN 1985; 9:309-313
24. Kielman AA, McCord C: Weight-for-age as an index of risk of death in children. Lancet 1978; ii:1247-1250