Online citations, reference lists, and bibliographies.

PIM2: A Revised Version Of The Paediatric Index Of Mortality

A. Slater, F. Shann, G. Pearson, for the Pim Study Group
Published 2003 · Medicine

Cite This
Download PDF
Analyze on Scholarcy
Share
ObjectiveTo revise the Paediatric Index of Mortality (PIM) to adjust for improvement in the outcome of paediatric intensive care.DesignInternational, multi-centre, prospective, observational study.SettingTwelve specialist paediatric intensive care units and two combined adult and paediatric units in Australia, New Zealand and the United Kingdom.PatientsAll children admitted during the study period. In the analysis, 20,787 patient admissions of children less than 16 years were included after 220 patients transferred to other ICUs and one patient still in ICU had been excluded.InterventionsNone.Measurements and resultsA revised model was developed by forward and backward logistic regression. Variable selection was based on the effect of including or dropping variables on discrimination and fit. The addition of three variables, all derived from the main reason for ICU admission, improved the fit across diagnostic groups. Data from seven units were used to derive a learning model that was tested using data from seven other units. The model fitted the test data well (deciles of risk goodness-of-fit χ2 8.14, p=0.42) and discriminated between death and survival well [area under the receiver operating characteristic (ROC) plot 0.90 (0.89–0.92)]. The final PIM2 model, derived from the entire sample of 19,638 survivors and 1,104 children who died, also fitted and discriminated well [χ2 11.56, p=0.17; area 0.90 (0.89–0.91)].ConclusionsPIM2 has been re-calibrated to reflect the improvement that has occurred in intensive care outcome. PIM2 estimates mortality risk from data readily available at the time of ICU admission and is therefore suitable for continuous monitoring of the quality of paediatric intensive care.
This paper references
10.1007/s001340050317
Paediatric index of mortality (PIM): a mortality prediction model for children in intensive care
F. Shann (1997)
10.1136/adc.84.2.125
Calibration of the paediatric index of mortality in UK paediatric intensive care units
G. Pearson (2001)
10.1016/0140-6736(93)92296-6
The CRIB (clinical risk index for babies) score: a tool for assessing initial neonatal risk and comparing performance of neonatal intensive care units
The International Neonatal Network (1993)
10.1097/00003246-199605000-00004
PRISM III: an updated Pediatric Risk of Mortality score.
M. Pollack (1996)
10.1378/chest.100.6.1619
The APACHE III prognostic system. Risk prediction of hospital mortality for critically ill hospitalized adults.
W. Knaus (1991)
10.2307/2533410
Modelling Binary Data.
W. Harkness (1994)
10.1016/S0140-6736(86)90837-8
STATISTICAL METHODS FOR ASSESSING AGREEMENT BETWEEN TWO METHODS OF CLINICAL MEASUREMENT
J. Bland (1986)
10.2307/2348040
Plotting p against x
J. Copas (1983)
10.1001/jama.1993.03510200084037
Mortality Probability Models (MPM II) based on an international cohort of intensive care unit patients.
S. Lemeshow (1993)
10.2307/2532419
Applied Logistic Regression
David W. Hosmer (1989)
STATISTICAL METHODS FOR ASSESSING AGREEMENT BETWEEN TWO METHODS OF CLINICAL MEASUREMENT
J. Martinbland (1986)
10.1148/radiology.148.3.6878708
A method of comparing the areas under receiver operating characteristic curves derived from the same cases.
J. Hanley (1983)
10.1016/S0012-3692(16)40910-4
The APACHE III Prognostic System
W. Knaus (1992)
10.1001/jama.1993.03510240069035
A new Simplified Acute Physiology Score (SAPS II) based on a European/North American multicenter study.
J. Le Gall (1993)
10.1001/jama.1996.03530410036030
Using admission characteristics to predict short-term mortality from myocardial infarction in elderly patients. Results from the Cooperative Cardiovascular Project.
S. Normand (1996)
10.1067/MPD.2001.109608
SNAP-II and SNAPPE-II: Simplified newborn illness severity and mortality risk scores.
D. Richardson (2001)



This paper is referenced by
10.1016/j.jnma.2019.09.005
Racial Minority Families' Preferences for Communication in Pediatric Intensive Care Often Overlooked.
Adrian D Zurca (2019)
10.1016/j.jand.2019.06.250
Undernutrition at PICU Admission Is Predictor of 60-Day Mortality and PICU Length of Stay in Critically Ill Children.
Julia Carvalho Ventura (2019)
10.4037/ccn2019231
Early Mobilization of Infants Intubated for Acute Respiratory Failure.
Laura A Ortmann (2019)
10.1016/j.jaip.2019.04.025
Epidemiology of Anaphylaxis in Critically Ill Children in the United States and Canada.
Nicole B. Ramsey (2019)
10.1002/ppul.23223
Safety of paediatric tracheal intubation after non-invasive ventilation failure.
Benjamin Crulli (2016)
10.4067/S0716-10182010000100002
Clasificación PIRO en sepsis grave y shock séptico pediátrico: Nuevo modelo de estratificación y su utilidad en pronóstico
S DanielaArriagada (2010)
The Dependence of Machine Learning on Electronic Medical Record Quality
Long Van Ho (2017)
10.1186/s12887-019-1646-9
Retrospective cohort study on factors associated with mortality in high-risk pediatric critical care patients in the Netherlands
Carin W Verlaat (2019)
10.1007/s00134-010-2020-4
Off-hours admission and mortality in two pediatric intensive care units without 24-h in-house senior staff attendance
Babette Peeters (2010)
10.1097/PCC.0b013e3181e8f502
Relationship between hypoglycemia and mortality in critically ill children*
E. Faustino (2010)
10.1197/J.AEM.2006.11.015
Revised Pediatric Emergency Assessment Tool (RePEAT): a severity index for pediatric emergency care.
M. Gorelick (2007)
10.1093/ejcts/ezt548
The indication for perioperative red blood cell transfusions is a predictive risk factor for severe postoperative morbidity and mortality in children undergoing cardiac surgery.
Ariane S. Willems (2014)
10.1097/PCC.0b013e3181dac698
Critical appraisal of: Triaging pediatric critical care resources during a pandemic: Ethical and medical considerations*
A. Antommaria (2010)
10.1016/j.jcrc.2012.12.006
Correlation of oxygen saturation as measured by pulse oximetry/fraction of inspired oxygen ratio with Pao2/fraction of inspired oxygen ratio in a heterogeneous sample of critically ill children.
C. Lobete (2013)
10.1007/s00134-014-3226-7
High-flow nasal cannula (HFNC) support in interhospital transport of critically ill children
L. Schlapbach (2014)
10.3310/hta23050
Different temperature thresholds for antipyretic intervention in critically ill children with fever due to infection: the FEVER feasibility RCT.
M. Peters (2019)
10.1097/SHK.0b013e3181ce2c7d
POLYMORPHISMS IN PARP, IL1B, IL4, IL10, C1INH, DEFB1, AND DEFA4 IN MENINGOCOCCAL DISEASE IN THREE POPULATIONS
Marieke Emonts (2010)
10.3346/jkms.2013.28.1.114
Prognostic Usefulness of Eosinopenia in the Pediatric Intensive Care Unit
Yoon Hee Kim (2013)
10.3893/JJAAM.25.814
小児rapid response systemの効果と課題
大樹 芳賀 (2014)
10.22514/sv141.052018.5
Microbial colonization of the lower airways after insertion of a cuffed endotracheal tube in pediatric patient
Tomas Kondratas (2018)
10.1002/jpen.1018
Feasibility of Enteral Protein Supplementation in Critically Ill Children
Yara Maria Franco Moreno (2018)
10.17863/CAM.40593
The relationship between enteral nutrition, energy metabolism and gut homeostasis during the course of critical illness
Sara Zaher (2019)
10.1186/s13054-018-2052-7
Mortality and morbidity in community-acquired sepsis in European pediatric intensive care units: a prospective cohort study from the European Childhood Life-threatening Infectious Disease Study (EUCLIDS)
N. P. Boeddha (2018)
10.1016/j.clnesp.2020.03.018
Protein intake deficiency in critically ill children with respiratory insufficiency: A call to action?
Erica Carolina Melro (2020)
10.1097/CCM.0b013e318275d032
Neuropsychologic Function Three to Six Months Following Admission to the PICU With Meningoencephalitis, Sepsis, and Other Disorders: A Prospective Study of School-Aged Children*
L. Als (2013)
10.1002/ppul.22729
Respiratory and hemodynamic effects of a stepwise lung recruitment maneuver in pediatric ARDS: a feasibility study.
P. Cruces (2013)
10.1097/PCC.0b013e3181dbaeb3
Daily practice of mechanical ventilation in Italian pediatric intensive care units: A prospective survey*
A. Wolfler (2011)
10.1097/PCC.0b013e3181b8063b
Treatment of acute hypoxemic respiratory failure with continuous positive airway pressure delivered by a new pediatric helmet in comparison with a standard full face mask: A prospective pilot study
G. Chidini (2010)
10.1016/J.REC.2011.12.010
Evolution and mortality risk factors in children with continuous renal replacement therapy after cardiac surgery.
M. Santiago (2012)
10.1016/J.EPAG.2014.10.003
Application of different scoring systems and their value in pediatric intensive care unit
Hanaa Ibrahim Rady (2014)
10.1371/journal.pone.0145473
Pathways to Care for Critically Ill or Injured Children: A Cohort Study from First Presentation to Healthcare Services through to Admission to Intensive Care or Death
Peter W Hodkinson (2016)
10.1016/j.jpeds.2017.01.026
Epidemiology of Bleeding in Critically Ill Children
Lauren J. White (2017)
See more
Semantic Scholar Logo Some data provided by SemanticScholar