Evaluating the prognosis of multiple, severely traumatized XXXX in the intensive care unit.

@entity1 @entity542 @entity772 @entity1230 @entity204 @entity130
OBJECTIVE: To assess the Pediatric Risk of Mortality (PRISM) score and to identify other prognosis factors in severe, @entity1230 in @entity1 . DESIGN: Retrospective study over a 9-year period. SETTING: A Pediatric Intensive Care Unit (PICU) in a University Hospital. @entity1 AND @entity1 : One hundred and thirty-three traumatized @entity1 , 8.6 years (8 months-16 years), were reviewed. INTERVENTIONS: None. MEASUREMENTS AND RESULTS: Pediatric @entity130 Score (PTS), @entity130 ( @entity130 ), New @entity130 (NISS), Glasgow @entity772 Scale (GCS) score, and PRISM were calculated. The areas under the Receiver Operating Characteristic (ROC Az) curves, were compared. Univariate and multivariate analyses were performed. The mortality rate was 25.6%. PRISM performed well for discrimination between survivors and non-survivors. Az PRISM 0.9387 (0.029) was not different from Az GCS score 0.9451 (0.027) (P=0.568), but was significantly different from Az @entity130 0.756 (0.052) (P<0.001), Az NISS 0.7606 (0.051) (P<0.001), and Az PTS 0.8244 (0.047) (P=0.016). Death was significantly associated with @entity542 (P=0.014), PRISM >35, PTS <5, GCS <7, and @entity130 or NISS >32 (P<0.00001). PRISM >35 (P=0.001) and GCS <7 (P=0.003) were independent risk factors of @entity204 . CONCLUSIONS: PRISM is a reliable tool for evaluating the prognosis of multiple, severely traumatized @entity1 . Its relative simplicity and the fact that it is extremely widespread as a general prognosis score in PICUs represent other arguments for its use. Due to the leading influence of @entity542 on mortality, GCS, a score even simpler than PRISM, showed identical accuracy regarding survival prediction.
