Pediatric Index of Mortality 2 Score of Patients with Chest Problems in Pediatric Intensive Care Unit as an Indicator of Efficacy of Management and Personel Practice
(2024). Pediatric Index of Mortality 2 Score of Patients with Chest Problems in Pediatric Intensive Care Unit as an Indicator of Efficacy of Management and Personel Practice. EKB Journal Management System, 94(1), 1229-1234. doi: 10.21608/ejhm.2024.347976
. "Pediatric Index of Mortality 2 Score of Patients with Chest Problems in Pediatric Intensive Care Unit as an Indicator of Efficacy of Management and Personel Practice". EKB Journal Management System, 94, 1, 2024, 1229-1234. doi: 10.21608/ejhm.2024.347976
(2024). 'Pediatric Index of Mortality 2 Score of Patients with Chest Problems in Pediatric Intensive Care Unit as an Indicator of Efficacy of Management and Personel Practice', EKB Journal Management System, 94(1), pp. 1229-1234. doi: 10.21608/ejhm.2024.347976
Pediatric Index of Mortality 2 Score of Patients with Chest Problems in Pediatric Intensive Care Unit as an Indicator of Efficacy of Management and Personel Practice. EKB Journal Management System, 2024; 94(1): 1229-1234. doi: 10.21608/ejhm.2024.347976

Pediatric Index of Mortality 2 Score of Patients with Chest Problems in Pediatric Intensive Care Unit as an Indicator of Efficacy of Management and Personel Practice

The Egyptian Journal of Hospital Medicine
Article 181, Volume 94, Issue 1, January 2024, Page 1229-1234  XML PDF (268.02 K)
Document Type: Original Article
DOI: 10.21608/ejhm.2024.347976
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Abstract
Background:The Pediatric Index of Mortality 2 (PIM 2) score is a predictive tool used to estimate the risk of mortality in pediatric intensive care units (PICUs).
Objective: To evaluate the utility of the PIM 2 score in predicting mortality for this patient group, alongside examining management strategies and personnel practices within a tertiary care PICU setting.
Methods:This prospective observational study was conducted at Benha University Hospital's PICU over a six-month period from August 2022 to January 2023. A total of 98 children aged one month to 16 years presented with chest problems such as bronchitis, pneumonia, bronchial asthma, aspiration, and croup. PIM 2 score was calculated based on ten critical variables such as elective PICU admission, early mechanical ventilation, systolic blood pressure, and base excess. Patient outcomes were monitored until discharge.
Results: The study involved 98 patients, with an average age of 5.41 ± 3.121 years, balanced across genders (46.9% male, 53.1% female). The average PIM 2 score was 9.58 ± 13.693, with patients' outcomes showing 86.7% survival and 13.3% mortality. A significant correlation was found between higher PIM 2 scores and mortality (p < 0.001). ROC curve analysis yielded a ≤15.7 PIM 2 score cut-off, predicting survival with 87.06% sensitivity and 84.62% specificity (AUC 0.902, p < 0.001)
Conclusions:  The PIM 2 score is a reliable predictor of mortality among pediatric patients with chest problems admitted to PICU. High PIM 2 scores were significantly associated with increased mortality, underscoring the score's utility in clinical decision-making.
 
Keywords
Pediatric Intensive Care Unit; Pediatric Index of Mortality 2 score; Chest problems
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