The Values of the Pediatric Logistic Organ Dysfunction (PELOD) Score and the Pediatric Index of Mortality (PIM) 2 Score in Emergency Department and Intensive Care Unit.
10.4266/kjccm.2010.25.3.144
- Author:
Si Kyoung JEONG
1
;
Woon Jeong LEE
;
Yun Joo MOON
;
Seon Hee WOO
;
Yeon Young KYONG
;
Se Min CHOI
;
Won Jung JEONG
;
Kyu Nam PARK
Author Information
1. Department of Emergency Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea. drme@catholic.ac.kr
- Publication Type:Original Article
- Keywords:
mortality;
pediatrics;
prognosis
- MeSH:
Calibration;
Discrimination (Psychology);
Emergencies;
Humans;
Critical Care;
Intensive Care Units;
Male;
Pediatrics;
Prognosis;
ROC Curve;
Survivors
- From:The Korean Journal of Critical Care Medicine
2010;25(3):144-148
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND: This study was conducted to compare two models of the pediatric logistic organ dysfunction (PELOD) score and the pediatric index of mortality (PIM) 2 score in the emergency department (ED) and intensive care unit (ICU). METHODS: 90 pediatric patients who were admitted to the ICU in ED from January 2003 to December 2008 were enrolled in this study. PELOD score and PIM 2 score calculations were performed in the ED and ICU. We classified these patients into either the survivor or non-survivor groups and analyzed the clinical variables between two groups. We used Hosmer-Lemeshow goodness-of-fit tests to evaluate calibration, receiver operating characteristic (ROC) curves and standardized mortality ratio (SMR). RESULTS: Among the 90 pediatric patients, 56 (62.2%) were male, and 9 (10.0%) patients died. Expected mortalities were PIM 2 = 10.35, PELOD = 8.33 in ED and PIM 2 = 8.84, PELOD = 8.26 in ICU. PIM 2 showed fit calibration (x(2) = 6.228, p = 0.622) in the ED. In the ICU, both PELOD and PIM 2 showed calibration (x(2) = 4.625, p = 0.185) and (x(2) = 7.616, p = 0.472), respectively. PIM 2 in ED showed the best discrimination, with area under the curve (AUC) = 0.949 (95% CI, 0.881-0.984). CONCLUSIONS: PIM 2 score in ED was fit. Also, PELOD and PIM 2 score in ICU was fit. But PELOD in ED was unfit.
