Evaluation of the effect of using the new PRISM IV to assess the condition of children with mechanical ventilation
10.3969/j.issn.1674-8115.2018.09.016
- Author:
Ting-Ting ZHANG
1
Author Information
1. Cardiothoracic Surgery ICU, Xinhua Hospital, Shanghai Jiao Tong University School of Medicine
- Publication Type:Journal Article
- Keywords:
Congenital heart disease;
Early warning;
Mechanical ventilation;
Severity of illness scoring system
- From:
Journal of Shanghai Jiaotong University(Medical Science)
2018;38(9):1099-1103
- CountryChina
- Language:Chinese
-
Abstract:
Objective • To evaluate the application effect of the newly updated pediatric critical illness score PRISM on assessing the condition of children with mechanical ventilation after congenital heart disease (CHD). Methods • T test, area under ROC curve and Hosmer-Lemeshow goodness of fit test were used to assess the performance of PRISM . The performance of PRISM was also compared with PRISM III and specific severity of illness scoring system for CHD. Results • 230 children with CHD were included. Reliability among evaluators was good. The discriminatory power (AUC>0.75) and calibration capability (P>0.05) of PRISM , PRISM III and specific score for CHD were tolerable. The results of PRISM evaluation were similar to specific scores for CHDT0-4 and CHDT0-12 (P>0.05). Conclusion • PRISM has been updated to shorten the assessment time and has certain advantages over other tools. It is recommended that nursing staff take it in the prognosis prediction system for critically ill children based on clinical status and practical needs, to detect high-risk children early, and to intervene early to reduce the complications and mortality of children.
