Evidence map›Paper›PMID 25025075›Full record

Trial reportBioMed research international2014

Pediatric Index of Mortality and PIM2 scores have good calibration in a large cohort of children from a developing country.

Jhuma Sankar, Archana Singh, M Jeeva Sankar, Sunil Joghee, Shashikant Dewangan, Nandkishore Dubey

Open access · hybridAbstract readClinical Trial
In one paragraph

Trial report in BioMed research international, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
2.1field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 20 citations in OpenAlex.

  1. Infant Intensive Care Unit: Is it Time to Change?Indian journal of pediatrics · 2025
    Article
  2. Article
  3. Article
  4. Article
  5. Validation of an Electronic Pediatric Index of Mortality 2 Score in a Mixed Quaternary PICU.Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies · 2020
    Observational
  6. A Simple Scoring System for Quick, Accurate, and Reliable Early Diagnosis of Hand, Foot, and Mouth Disease.Medical science monitor : international medical journal of experimental and clinical research · 2018
    Article
  7. Observational
  8. Review
  9. Illness severity and organ dysfunction scoring in Pediatric Intensive Care Unit.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2016
    Review
  10. Acute physiology and chronic health evaluation II for critically ill children?Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2015
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Jhuma SankarDepartment of Pediatrics, PGIMER, Dr. R.M.L Hospital, New Delhi 110001, India.ORCID 0000-0002-9807-6550
Archana SinghDepartment of Pediatrics, PGIMER, Dr. R.M.L Hospital, New Delhi 110001, India.
M Jeeva SankarDepartment of Pediatrics, All India Institute of Medical Sciences, New Delhi 110029, India.
Sunil JogheeDepartment of Pediatrics, PGIMER, Dr. R.M.L Hospital, New Delhi 110001, India.
Shashikant DewanganDepartment of Pediatrics, PGIMER, Dr. R.M.L Hospital, New Delhi 110001, India.
Nandkishore DubeyDepartment of Pediatrics, PGIMER, Dr. R.M.L Hospital, New Delhi 110001, India.
Post Graduate Institute of Medical Education and Research · INAll India Institute of Medical Sciences · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveOur objective was to validate the Pediatric Index of Mortality (PIM) and PIM2 scores in a large cohort of children from a developing country.

designProspective observational study.

settingPediatric intensive care unit of a tertiary care teaching hospital. PATIENTS: All children aged <18 years admitted between June 2011 and July 2013. MEASUREMENTS AND MAIN

resultsWe evaluated the discriminative ability and calibration as measured by the area under the receiver operating characteristic (ROC) curves, the Hosmer-Lemeshow goodness-of-fit (GOF), and standardized mortality ratio (SMR), respectively. Of the 819 children enrolled, 232 (28%) died. The median (IQR) age of the study subjects was 4 years (0.8, 10). The major reasons for ICU admission as well as mortality were sepsis/severe sepsis. The area under ROC curves for PIM and PIM2 was 0.72 (95% CI: 0.67-0.75) and 0.74 (95% CI: 0.70-0.78), respectively. The goodness-of-fit test showed a good calibration across deciles of risk for the two scores with P values being >0.05. The SMR (95% CI) was 0.99 (0.85-1.15) and 1 (0.85-1.16) for PIM and PIM2, respectively. The calibration across different age and diagnostic subgroups was also good.

conclusionPIM and PIM2 scores had good calibration in our setup.

Indexed as

Hospital MortalityIntensive Care Units, PediatricAdolescentChildChild, PreschoolDeveloping CountriesFemaleHeart FailureHumansInfantMaleProspective StudiesROC CurveSepsisSeverity of Illness IndexTertiary Care Centers

Identifiers

PMID25025075
PMCPMC4082889
OpenAlexW2051678302

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.