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THE PROGNOSTIC VALUE OF THE PRISM IV SCORING SYSTEM IN MORTALITY PREDICTION FOR CHILDREN ADMITTED TO THE EMERGENCY DEPARTMENT OF CAN THO CHILDEN’S HOSPITAL
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Abstract
Introduction: The mortality prognosis in children with severe illness plays a crucial role in assisting clinicians in making treatment decisions and monitoring outcomes more effectively. Numerous scoring systems are employed in clinical practice for prognostication, including PIM, PELOD, pSOFA,… Notably, the Pediatric Risk of Mortality scoring system, commonly referred to as PRISM, has been developed, refined, and increasingly utilized due to its excellent discrimination and calibration among prognostic tools. Objective: 1. Describe the clinical and paraclinical symptoms of children in the emergency department utilizing the PRISM IV score for mortality prognosis. 2. Determine the prognostic value of the PRISM IV score in predicting mortality for children admitted to the emergency department at Can Tho Children's Hospital. Subjects and Methods: Cross-sectional descriptive study with analysis conducted on 103 children aged from 1 month to 15 years who were admitted to the emergency department at Can Tho Children's Hospital from 7/2023 to 1/2025. Results: The majority of children with severe illness were in the age group of 10 to 15 years, with most being hospitalized due to shock; the overall mortality rate was 12,6%, with the shock patient group exhibiting a higher mortality rate. The average PRISM IV score of the study group was 7,67±6,066. The average PRISM IV score for the survivor group was 6,52±4,636, while that of the deceased group was 15,62±8,665. The PRISM IV scoring system had an area under the ROC curve of 0,837 with a 95% confidence interval (0,712-0,962), p<0,001. Conclusion: The application of the PRISM IV scoring system in the emergency department assists physicians in prognosticating the severity of illness, optimizing management, and monitoring patients.
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Keywords
prognosis, severe disease, PRSIM IV
References
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