Articles Vol. 66 No. CĐ6-HNKH Bệnh viện Sản nhi Nghệ An 31/05/2025

2. EVALUATION OF THE PSOFA SCORE AND PRISM SCORE IN THE PREDICTION OF MORTALITY IN SEVERELY ILLATE PATIENTS ADMISSITED TO THE EMERGENCY DEPARTMENT

Tran Van Cuong1,2, Nguyen Duc Dung1,2
1 Nghe An Maternity - Pediatric Hospital
2 Bệnh viện Sản Nhi Nghệ An
Corresponding author: tranvancuongdrped@gmail.com
DOI: 10.52163/yhc.v66iCD6.2257
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Keywords
pSOFA PRISM mortality prediction
Abstract

Objective: To evaluate the application of the pSOFA score and the PRISM score; to compare the value of the pSOFA score and the PRISM score in predicting mortality in critically ill patients.

Subjects and methods: All patients admitted to the Emergency Department – Nghe An Obstetrics and Pediatrics Hospital with severe or life-threatening illness from March 2024 to September 2024. The pSOFA and PRISM scores were evaluated by the area under the ROC curve (AUROC).

Results: The pSOFA and PRISM scores in the group of deceased patients were 13,65 ± 2,519 and 15,45 ± 5,443, respectively, significantly higher than in the group of surviving patients. The AUROC of the pSOFA in predicting mortality was ,975 (95% CI: 0,954 – 0,995) with a sensitivity of  99% and a specificity of 89,4%. The AUROC of PRISM was 96,3% (95% CI: 0,932 – 0,993) with a sensitivity of  95% and a specificity of 87,4%.

Conclusions: Mortality was proportional to the pSOFA and PRISM scores; the pSOFA and PRISM scores were both able to separate the surviving and non-surviving groups well, and the pSOFA score had a higher value in predicting mortatily in critically ill children.

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