Özet:

The aim of this study is to investigate the success of patients in the Pediatric Risk of Mortality Score III (PRISM III) and Pediatric Logistic Organ Dysfunction (PELOD) scores compared with the characteristic characteristics of patients and showing their exit and survival rates. Method: Between March 2017 and March 2018, a total of 372 patients who were deposited in the child intensive care unit were taken to work. The patient’s gender, age, leakage cause, underlying disease, whether or not surgery, PRISM III, PELOD scores, mechanical ventilator monitoring in the first 24 hours, whether or not transmitted in the first 24 hours, leakage hemogram values and whether or not the patient is exitus. Results: 188 of the patients were girls (50.5%) and 184 men (49.5%) The average age is estimated to be 48 (12-144) months. 92.2 per cent of the service was dismissed or dismissed while 7.8 per cent was dismissed. The PRISM III and PELOD values were significantly high (p<0.001) in patients with exitus, while the median values were 12 in patients with exitus for PRISM III and PELOD. The average duration of intensive care is 4 (3-9) days in this process and is calculated as an average of 5 (3-12) days in those with the underlying disease. PRISM III is 67.35% and sensitivity is 89.66, and PELOD is 93.86% and sensitivity is 51.7%. The result; PRISM III score is a strong score in predicting mortality, PELOD score morbidity. PRISM III and PELOD scores can be used to predict mortality and morbidity in children's intensive care units.

Anahtar Kelimeler:

Özet:

Aim; The aim of this study was to compare Pediatric Risk of Mortality Score III (PRISM III) and Pediatric Logistic Organ Dysfunction (PELOD) scores with characteristics of the patients admitted to the pediatric intensive care unit, and to determine the success of these scores for predicting the mortality and survival rates. Methods: A total of 372 patients admitted to the pediatric intensive care unit between March 2017 and March 2018 were included in the study. Sex, age, causes of hospitalization, underlying diseases, surgery, PRISM III, PELOD scores, mechanical ventilation during the first 24 hours, transfusion within the first 24 hours, hemogram values at the admission and survival or exitus of the patients were recorded. Results: Of the patients, 188 were female (50.5%) and 184 were male (49.5%). The mean age was 48 (12-144) months. 92.2% of the patients were discharged and 7.8% were excitus. PRISM III and PELOD scores were significantly higher in the patients who were exitus (p <0.001). However the median value was 12 (4.5-23.5) for PRISM III and 12 (1-28) for PELOD scores in the patients who were exitus. The mean length of stay in intensive care unit was 4 (3-9) days during the study period whereas this interval was 5 (3-9) days in patients with underlying disease. The PRISM III had a specificity of 67.3%, and a sensitivity of 89.66% as a mortality predictor (Cut-off > 3). On the other hand, the specificity and sensitivity of PELOD were 93.8% and 51.7% for predicting mortality (Cut-off > 11). Conclusion: PRISM III is a significant predictor of mortality and PELOD score is a significant predictor of morbidity. PRISM III and PELOD scores can be effectively used for predicting mortality and morbidity in pediatric intensive care units.