Observational studyPediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies2018
Performance of the Pediatric Index of Mortality 3 Score in PICUs in Argentina: A Prospective, National Multicenter Study.
Observational study in Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed.
- Can PIM3 predict mortality adequately for patients admitted to Pediatric Intensive Care Unit in a resource limited setting? A single-center study.BMC pediatrics · 2025Observational
- Comparison of accuracy of pediatric index of mortality-3 (PIM-3) and pediatric index of mortality-2 (PIM-2) scores in predicting outcome of children admitted to pediatric ICU of a tertiary care hospital.Pakistan journal of medical sciences · 2025Article
- SATI-Q Registry: 20 years of experience with quality benchmarking in intensive care units.Critical care science · 2025Article
- Severity of illness scores in the pediatric intensive care unit: a practical guide.Critical care science · 2024Article
- [Early mobilization in critically ill pediatric patient with ventilatory support. Experience of a high complexity center].Revista de la Facultad de Ciencias Medicas (Cordoba, Argentina) · 2022Observational
- Clinical implications of discrepancies in predicting pediatric mortality between Pediatric Index of Mortality 3 and Pediatric Logistic Organ Dysfunction-2.Acute and critical care · 2022Article
- Article
- Performance of Pediatric Risk of Mortality III and Pediatric Index of Mortality III Scores in Tertiary Pediatric Intensive Unit in Saudi Arabia.Frontiers in pediatrics · 2022Article
- Evaluating the Ability of PRISM4 and PIM3 to Predict Mortality in Patients Admitted to Pediatric Intensive Care Unit; a Diagnostic Accuracy Study.Archives of academic emergency medicine · 2022Article
- Article
- Multicenter validation of PIM3 and PIM2 in Brazilian pediatric intensive care units.Frontiers in pediatrics · 2022Article
- Simplified Pediatric Index of Mortality 3 Score by Explainable Machine Learning Algorithm.Critical care explorations · 2021Article
- Development of a machine learning model for predicting pediatric mortality in the early stages of intensive care unit admission.Scientific reports · 2021Article
- 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 journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2020Article
- Does Pediatric Index of Mortality "Score" in Colombia?Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2020Article
- Overall and subgroup specific performance of the pediatric index of mortality 2 score in Switzerland: a national multicenter study.European journal of pediatrics · 2020Article
- Article
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Authors and funding
8 authors.
Funding
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Abstract
objectiveTo assess the performance of the Pediatric Index of Mortality 3 score in a population of children admitted to PICUs in Argentina.
designProspective, national, multicenter study.
settingForty-nine PICUs located in Argentina belonging to public and private institutions. PATIENTS: All children between 1 month and 16 years old admitted to the participating PICUs between May 15, 2016, and February 15, 2017.
interventionsNone. MEASUREMENT AND MAIN
resultsA total of 6,602 patients were enrolled in the study. The observed mortality was 8% (531/6,602), whereas mortality predicted by Pediatric Index of Mortality 3 was 6.16% (407 deaths). The standardized mortality rate was 1.3 (95% CI, 1.20-1.42). The area under the receiver operating characteristic curve was 0.83 (95% CI, 0.82-0.85). The Hosmer-Lemeshow test showed that the difference between the mortality observed and the mortality predicted by Pediatric Index of Mortality 3 was statistically significant (χ, 135.63; p < 0.001).
conclusionsThe Pediatric Index of Mortality 3 score adequately discriminated patients who died from those who survived in our population. However, the observed mortality was higher than predicted by the score. The use of an updated instrument such as Pediatric Index of Mortality 3 will allow an actual comparison between pediatric intensive care provided in the country and care provided internationally. This might also allow future planning of pediatric intensive care services in Argentina.
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