Prism score of pediatric mortality

The Pediatric Risk of Mortality (PRISM) score was developed from the Physiologic Stability Index (PSI)^[1] to reduce the number of physiologic variables required for pediatric intensive-care unit (PICU) mortality risk assessment, from 34 (in the PSI) to 14,^[2] and to obtain an objective weighting of the remaining variables.^{[citation needed]}

Prism score of pediatric mortality
Synonyms	PRISM
Purpose	variables required for pediatric intensive-care unit (PICU) mortality risk assessment

PRISM III, an updated version of the scoring system published in 1996, has several improvements over the original PRISM. However, it is only available under licence and is not widely used outside of the United States.^[3]

PRISM III score has 17 physiologic variables subdivided into 26 ranges. The variables most predictive of mortality were minimum systolic blood pressure, abnormal pupillary reflexes, and stupor/coma.^[4]

References

1. Robert L Chatburn; Eduardo Mireles-Cabodevila (2010). Handbook of Respiratory Care (3rd ed.). Jones & Bartlett Learning. pp. 14. ISBN 978-0-7637-8409-6.
2. Jack E. Zimmerman (1996). "Managing the Internal Evaluation Process". In William J. Sibbald; Thomas A. Massaro; Diane M. McLeod (eds.). The business of critical care: a textbook for clinicians who manage special care units. Wiley-Blackwell. p. 175. ISBN 978-0-87993-623-5.
3. Marino Festa; Bert Derkx (2001). "Clinical Scoring Systems in Meningococcal Disease". In Andrew J. Pollard; Martin C. J. Maiden (eds.). Meningococcal disease: methods and protocols. Methods in molecular medicine. Vol. 67. Humana Press. p. 413. ISBN 978-0-89603-849-3.
4. Pollack, M. M.; Patel, K. M.; Ruttimann, U. E. (May 1996). "PRISM III: an updated Pediatric Risk of Mortality score". Critical Care Medicine. 24 (5): 743–752. doi:10.1097/00003246-199605000-00004. ISSN 0090-3493. PMID 8706448.

Further reading

• Ralph D. Feigin (2004). Textbook of pediatric infectious diseases. Vol. 2 (5th ed.). Elsevier Health Sciences. p. 2878. ISBN 978-0-7216-9329-3.
• Murray M. Pollack; Urs E. Ruttimann; Pamela R. Getson (November 1988). "Pediatric risk of mortality (PRISM) score". Critical Care Medicine. 16 (11). Williams & Wilkins: 1110–1116. doi:10.1097/00003246-198811000-00006. PMID 3048900.
• Murray M. Pollack; Kantilal M. Patel; Urs E. Ruttimann (May 1996). "PRISM III: An updated Pediatric Risk of Mortality score". Critical Care Medicine. 24 (5). Williams & Wilkins: 743–752. doi:10.1097/00003246-199605000-00004. PMID 8706448.
• Murray M. Pollack; Kantilal M. Patel; Urs E. Ruttimann (October 1997). "The pediatric risk of mortality III – Acute physiology score (PRISM III–APS): A method of assessing physiologic instability for pediatric intensive care unit patients". Journal of Pediatrics. 131 (4): 575–581. doi:10.1016/S0022-3476(97)70065-9. PMID 9386662.
• A. Slater; F. Shann F (September 2004). "The suitability of the Pediatric Index of Mortality (PIM), PIM2, the Pediatric Risk of Mortality (PRISM), and PRISM III for monitoring the quality of pediatric intensive care in Australia and New Zealand". Pediatric Critical Care Medicine. 5 (5): 447–454. doi:10.1097/01.PCC.0000138557.31831.65. PMID 15329160. S2CID 10689980.