Comparison of Performance of the Pediatric Index of Mortality (PIM)-2 and PIM-3 Scores in the Pediatric Intensive Care Unit of a High Complexity Institution
dc.contributor.author | Quiñónez López, Deyanira | |
dc.contributor.author | Patiño Hernández, Daniela | |
dc.contributor.author | Zuluaga, César A | |
dc.contributor.author | Garcia-Pena A.A. | |
dc.contributor.author | Muñoz, Óscar | |
dc.contributor.corporatename | Pontificia Universidad Javeriana. Facultad de Medicina. Departamento de Pediatría | spa |
dc.contributor.corporatename | Pontificia Universidad Javeriana. Facultad de Medicina. Hospital Universitario San Ignacio | spa |
dc.contributor.corporatename | Pontificia Universidad Javeriana. Facultad de Medicina. Departamento de Medicina Interna. Cardiología | |
dc.contributor.corporatename | Pontificia Universidad Javeriana. Facultad de Medicina. Departamento de Medicina Interna. Medicina Interna | |
dc.contributor.javerianateacher | Garcia-Pena A.A. | |
dc.contributor.javerianateacher | Muñoz, Óscar | |
dc.date.accessioned | 2022-08-17T16:21:20Z | |
dc.date.available | 2022-08-17T16:21:20Z | |
dc.date.created | 2020-11-24 | |
dc.description.abstractenglish | Objective: To determine the performance of each of the available pediatric index of mortality (PIM) scores, by assessing the capability for discrimination and calibration in patients admitted to a pediatric intensive care unit in Bogotá. Design and setting: We designed a retrospective, observational cohort study, which included all patients aged between a month and 17 years and 364 days, admitted to the pediatric intensive care unit of a high complexity university hospital between April 1, 2016 and December 31, 2018. We analyzed the standardized mortality ratio, discrimination, calibration, and net reclassification index (NRI) for each model. Results: A total of 722 patients were included, the mortality rate was 3.74%, and for PIM-3, the ratio between expected and observed mortality was 0.66 [confidence interval (CI) 0.40-1.05] for PIM-2 and 1.00 (CI 0.59-1.68) for PIM-3. The Hosmer-Lemeshow (HL) test suggests inadequate calibration for PIM-2 (HL = 13.18, p = 0.11) and adequate calibration for PIM-3 (HL = 28.08, p < 0.01). The area under the diagnostic performance curves for PIM-2 and PIM-3 were 0.87 (95% CI 0.80-0.94) and 0.89 (95% CI 0.82-0.95), respectively. The NRI was -27.1%. PIM-3 classified survivors better than PIM-2, but inadequately classified nonsurvivors. Conclusion: Although both models show adequate discrimination ability, PIM-3 shows a better correlation between predicted risk score and observed mortality. Thus, it may be a useful tool for measuring the internal processes of intensive care units in Colombia and for making comparisons between groups of similar characteristics. How to cite this article: Quiñónez-López D, Patino-Hernandez D, Zuluaga CA, García ÁA, Muñoz-Velandia OM. Comparison of Performance of the Pediatric Index of Mortality (PIM)-2 and PIM-3 Scores in the Pediatric Intensive Care Unit of a High Complexity Institution. Indian J Crit Care Med 2020;24(11):1095-1102. | spa |
dc.description.esci | No | spa |
dc.description.indexing | Revista Internacional - Indexada | spa |
dc.description.orcid | https://orcid.org/0000-0002-3606-2102 | |
dc.description.orcid | https://orcid.org/0000-0001-5401-0018 | |
dc.description.publindex | A2 | |
dc.description.quartilescopus | Q2 | spa |
dc.description.quartilewos | Q2 | spa |
dc.format | spa | |
dc.format.mimetype | application/pdf | spa |
dc.identifier | https://www.ijccm.org/abstractArticleContentBrowse/IJCCM/64/24/11/21941/abstractArticle/Article | spa |
dc.identifier.doi | https://doi.org/10.5005/jp-journals-10071-23659 | spa |
dc.identifier.instname | instname:Pontificia Universidad Javeriana | spa |
dc.identifier.issn | 0972-5229 / 1998-359X (Electrónico) | spa |
dc.identifier.reponame | reponame:Repositorio Institucional - Pontificia Universidad Javeriana | spa |
dc.identifier.repourl | repourl:https://repository.javeriana.edu.co | spa |
dc.identifier.uri | http://hdl.handle.net/10554/61405 | |
dc.language.iso | eng | spa |
dc.relation.citationendpage | 1102 | spa |
dc.relation.citationissue | 11 | spa |
dc.relation.citationstartpage | 1095 | spa |
dc.relation.citationvolume | 24 | spa |
dc.relation.ispartofjournal | Indian Journal of Critical Care Medicine | spa |
dc.rights.coar | http://purl.org/coar/access_right/c_abf2 | spa |
dc.rights.licence | Atribución-NoComercial 4.0 Internacional | * |
dc.rights.uri | http://creativecommons.org/licenses/by-nc/4.0/ | * |
dc.subject.keyword | Mortality | spa |
dc.subject.keyword | Pediatric intensive care unit | spa |
dc.subject.keyword | Pediatrics | spa |
dc.subject.keyword | Risk assessment | spa |
dc.title | Comparison of Performance of the Pediatric Index of Mortality (PIM)-2 and PIM-3 Scores in the Pediatric Intensive Care Unit of a High Complexity Institution | spa |
dc.type.coar | http://purl.org/coar/resource_type/c_6501 | spa |
dc.type.hasversion | http://purl.org/coar/version/c_ab4af688f83e57aa | |
dc.type.local | Artículo de revista | spa |
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