Prism score of pediatric mortality explained
| Prism score of pediatric mortality |
| Purpose: | variables required for pediatric intensive-care unit (PICU) mortality risk assessment |
| Synonyms: | PRISM |
The Pediatric Risk of Mortality (PRISM) score was developed from the Physiologic Stability Index (PSI) to reduce the number of physiologic variables required for pediatric intensive-care unit (PICU) mortality risk assessment, from 34 (in the PSI) to 14, and to obtain an objective weighting of the remaining variables.
PRISM III, an updated version of the scoring system published in 1996, has several improvements over the original PRISM. However, it is only available under licence and is not widely used outside of the United States.
PRISM III score has 17 physiologic variables subdivided into 26 ranges. The variables most predictive of mortality were minimum systolic blood pressure, abnormal pupillary reflexes, and stupor/coma.[1]
References
- Pollack. M. M.. Patel. K. M.. Ruttimann. U. E.. May 1996. PRISM III: an updated Pediatric Risk of Mortality score. Critical Care Medicine. 24. 5. 743–752. 0090-3493. 8706448. 10.1097/00003246-199605000-00004.
[2] [3] [4]
Further reading
- Book: Textbook of pediatric infectious diseases. 2. Ralph D. Feigin. 5th. Elsevier Health Sciences. 2004. 978-0-7216-9329-3. 2878.
- 10.1097/00003246-198811000-00006. Critical Care Medicine. November 1988. 16. 11. 1110 - 1116. Pediatric risk of mortality (PRISM) score. Murray M. Pollack . Urs E. Ruttimann . Pamela R. Getson . Williams & Wilkins. 3048900.
- Critical Care Medicine. May 1996. 24. 5. 743 - 752. PRISM III: An updated Pediatric Risk of Mortality score. Murray M. Pollack . Kantilal M. Patel . Urs E. Ruttimann . Williams & Wilkins. 8706448. 10.1097/00003246-199605000-00004.
- 131. 4. 575 - 581. October 1997. The pediatric risk of mortality III - Acute physiology score (PRISM III - APS): A method of assessing physiologic instability for pediatric intensive care unit patients. Murray M. Pollack . Kantilal M. Patel . Urs E. Ruttimann . Journal of Pediatrics . 10.1016/S0022-3476(97)70065-9. 9386662.
- Pediatric Critical Care Medicine. September 2004. 5. 5. 447 - 454. The suitability of the Pediatric Index of Mortality (PIM), PIM2, the Pediatric Risk of Mortality (PRISM), and PRISM III for monitoring the quality of pediatric intensive care in Australia and New Zealand. A. Slater . F. Shann F . 10689980. 15329160. 10.1097/01.PCC.0000138557.31831.65.
