No full text
Article (Scientific journals)
Dynamic assessment of severity of illness in pediatric intensive care.
Ruttimann, U E; Albert, Adelin; Pollack, M M et al.
1986In Critical Care Medicine, 14 (3), p. 215-21
Peer Reviewed verified by ORBi
 

Files


Full Text
No document available.

Send to



Details



Keywords :
Child; Child, Preschool; District of Columbia; Hospital Bed Capacity, 100 to 299; Humans; Infant; Infant, Newborn; Intensive Care Units; Models, Biological; Mortality; Prognosis; Prospective Studies; Risk; Severity of Illness Index; Statistics as Topic
Abstract :
[en] Severity of illness in 293 pediatric ICU patients was assessed by a daily estimate of ICU survival. The probability of nonsurvival was obtained by logistic regression analysis, using physiologic stability index (PSI) values from previous days as time-dependent covariates. Only PSI values from the previous 2 days gave statistically significant predictions of short-term (less than 24 h) outcome. When the prediction model derived from these data was tested prospectively on a separate set of 345 pediatric patients, there was excellent agreement between observed and predicted short-term mortality. Receiver operating characteristic curves for the 345 patients were statistically equivalent to those originally derived for the 293 patients, and this prediction model had significantly (p less than .025) more accuracy than prediction based on admission PSI. These results indicate that this model for daily risk assessment is statistically reliable and objective, as verified against eventual outcome. In the 345 patients, ICU mortality was predicted with 89% sensitivity and 91% specificity. This prediction model may be used to stratify patient groups for clinical studies, or identify very low-risk patients for potential early ICU discharge.
Disciplines :
General & internal medicine
Author, co-author :
Ruttimann, U E
Albert, Adelin  ;  Université de Liège - ULiège > Département des sciences de la santé publique > Informatique médicale et biostatistique
Pollack, M M
Glass, N L
Language :
English
Title :
Dynamic assessment of severity of illness in pediatric intensive care.
Publication date :
1986
Journal title :
Critical Care Medicine
ISSN :
0090-3493
eISSN :
1530-0293
Publisher :
Lippincott Williams & Wilkins, Philadelphia, United States - Pennsylvania
Volume :
14
Issue :
3
Pages :
215-21
Peer reviewed :
Peer Reviewed verified by ORBi
Available on ORBi :
since 21 January 2013

Statistics


Number of views
26 (0 by ULiège)
Number of downloads
0 (0 by ULiège)

Scopus citations®
 
19
Scopus citations®
without self-citations
14
OpenCitations
 
12

Bibliography


Similar publications



Contact ORBi