ArticleJournal of pediatric intensive care2024
Performance of Pediatric Index of Mortality PIM-3 in a Tertiary Care PICU in India.
Article in Journal of pediatric intensive care, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- Article
- Development and Validation of a Comprehensive Acute Encephalitis Syndrome Severity Score in Children with Acute Encephalitis Syndrome.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2026Article
- Association between admission undernutrition and mortality rates and adverse outcomes in a pediatric intensive care unit in India: a prospective cohort study.Frontiers in pediatrics · 2026Article
- 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
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Pediatric index of mortality-3 (PIM-3) is the latest update of one of the commonly used scoring systems in pediatric intensive care. It has free accessibility and is easy to use. However, there are some skepticisms regarding its practical usefulness in resource-limited settings. Hence, there is a need to generate region-specific data to evaluate its performance in different case mixes and resource constraints. The aim of the study is to evaluate the performance of the PIM-3 score in predicting mortality in a tertiary care PICU of a developing country. This is a retrospective cohort study. All children aged 1 month to 18 years admitted to the PICU during the study period from July 2016 to December 2018 were included. We reviewed the patient admission details and the case records of the enrolled. patients. Patient demographics, disease profile, co-morbidities, and PIM-3 scores were recorded along with the outcome. Area under receiver operating characteristics (AUROC) curves was used to determine discrimination. Standardized mortality ratio (SMR) and Hosmer Lemeshow goodness of fit were used to assess the calibration. Out of 282 children enrolled, 62 (21.9%) died. 58.5% of the patients were males, and 60% were less than 5 years of age. The principal diagnoses included respiratory and neurological conditions. The AUROC for PIM-3 was 0.961 (95% CI [0.93, 0.98]) and overall SMR was 1.28 (95% CI [0.96, 1.59]). Hosmer-Lemeshow goodness-of-fit was suggestive of poor calibration (
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