Paediatric index of mortality 3: An updated model for predicting mortality in pediatric intensive care

Straney, Lahn, Clements, Archie, Parslow, Roger C., Pearson, Gale, Shann, Frank, Alexander, Jan and Slater, Anthony (2013) Paediatric index of mortality 3: An updated model for predicting mortality in pediatric intensive care. Pediatric Critical Care Medicine, 14 7: 673-681. doi:10.1097/PCC.0b013e31829760cf


Author Straney, Lahn
Clements, Archie
Parslow, Roger C.
Pearson, Gale
Shann, Frank
Alexander, Jan
Slater, Anthony
Title Paediatric index of mortality 3: An updated model for predicting mortality in pediatric intensive care
Journal name Pediatric Critical Care Medicine   Check publisher's open access policy
ISSN 1529-7535
1947-3893
Publication date 2013-09
Sub-type Article (original research)
DOI 10.1097/PCC.0b013e31829760cf
Volume 14
Issue 7
Start page 673
End page 681
Total pages 9
Place of publication Baltimore, United States
Publisher Lippincott Williams & Wilkins
Collection year 2014
Language eng
Formatted abstract
Objectives: To provide an updated version of the Paediatric Index of Mortality 2 for assessing the risk of mortality among children admitted to an ICU.

Design: International, multicenter, prospective cohort study.

Setting: Sixty ICUs that accept pediatric admissions in Australia, New Zealand, Ireland, and the United Kingdom. PATIENTS: All children admitted in 2010 and 2011 who were aged less than 16 years at the time of admission and either died in ICU or were discharged. Patients who were transferred to another ICU were not included. Fifty-three thousand one hundred twelve patient admissions were included in the analysis.

Interventions: None.

Measurement and main results: A revised prediction model was built using logistic regression. Variable selection was based on significance at the 95% level and overall improvement of the model's discriminatory performance and goodness of fit. The final model discriminated well (area under the curve, 0.88, 0.88-0.89); however, the model performed better in Australia and New Zealand than in the United Kingdom and Ireland (area under the curve was 0.91, 0.90-0.93 and 0.85, 0.84-0.86, respectively).

Conclusions: Paediatric Index of Mortality 3 provides an international standard based on a large contemporary dataset for the comparison of risk-adjusted mortality among children admitted to intensive care
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2014 Collection
School of Public Health Publications
 
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