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Paediatric index of mortality (PIM): a mortality prediction model for children in intensive care

Intensive Care Medicine · 1997 · Vol. 23(2) · pp. 201–207

Frank Shann✉(Royal Children's Hospital)Gale Pearson(Royal Children's Hospital)Anthony Slater(Royal Children's Hospital)K. Wilkinson(Royal Children's Hospital)

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Abstract

Scores that use the worst value of their predictor variables in the first 12-24 h should not be used to compare different units: patients mismanaged in a bad unit will have higher scores than similar patients managed in a good unit, and the bad unit's high mortality rate will be incorrectly attributed to its having sicker patients. PIM is a simple model that is based on only eight explanatory variables collected at the time of admission to intensive care. It is accurate enough to be used to describe the risk of mortality in groups of children.

Sepsis Diagnosis and Treatment Emergency and Acute Care Studies Cardiac, Anesthesia and Surgical OutcomesMedicineDecileLogistic regressionIntensive care unitAnesthesiologyReceiver operating characteristicCohortIntensive careEmergency medicineCohort study

MeSH terms

AdolescentChildChild, PreschoolHumansInfantInfant, NewbornPredictive Value of TestsProspective StudiesRisk FactorsROC CurveSeverity of Illness IndexIntensive Care Units, PediatricLogistic ModelsSurvival AnalysisHospital Mortality

Citations

569

FWCI

9.60

field-weighted impact

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99%

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Cited by

PIM2: a revised version of the Paediatric Index of Mortality