Quality of care according to the Pediatric Risk of Mortality Score (PRISM III) in pediatric intensive care units
Keywords:
HEALTH CARE QUALITY, ACCESS AND EVALUATION, INFANT MORTALITY, PEDIATRIC INTENSIVE CARE UNITS.Abstract
Introduction: mortality prediction scores allow the interpretation of information derived from the clinical practice; which facilitates the estimation of success in diagnosis and the choice of a particular therapy.
Objective: to assess the quality of hospital medical care through the scale of risk of pediatric mortality in intensive care units.
Method: A prospective, transversal and analytical study of technological evaluation and development was conducted. 680 children admitted from November 2013 to August 2015 were included in the study; the sample was taken intentionally, based on inclusion and exclusion criteria. The SPSS 11.1 program for Windows was used to determine the data, and to calculate the descriptive statistics: measures of central tendency (mean) and dispersion (standard deviation). The variables were analyzed using the chi-square association test (X2). The specificity and sensitivity of this pediatric mortality score were calculated. A value of p <0.05 was considered significant for all tests.
Results: 57.2% were male, 53.2% were under 5 years old, followed by 34.4% between 10 and 18 years, respiratory diseases (31.1%) prevailed, and it was the most common disease at admission. Out of the total of patients studied, 642 presented favorable evolution, 53.8% were eutrophic. According to the prognostic scale, 72% of the cases showed low risk of death.Conclusion: malnutrition increases the probability of death and that the prognostic score used is a useful and necessary tool because it predicts in a high percentage the risk of dying, which showed greater specificity than sensitivity.
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