Roles of Pediatric Critical Illness Score and Pediatric Risk of Mortality Score in Children with Acute Respiratory Distress Syndrome and the Correlation between Them

Objective To explore the prognostic value of pediatric critical illness score(PCIS)and pediatric risk of mortality score(PRISMⅢ)and the accuracy for evaluating the state of children with acute respiratory distress syndrome(ARDS).Methods Seventy-one cases hospitalized children from 29 days to 14 years old of Hebei ARDS cooperation group were selected during the 13 months between 2005 and 2006.All cases were confirmed according to ARDS diagnostic standard.For prospective studies,the patients were scored simultaneously with PCIS and PRISMⅢ at different times:when the patients entered PICU,when the patients were in the worst situation in PICU,when the patients were diagnosed as ARDS and when ARDS was serious.The data were performed by using Logistic regression etc.Results Values of Logistic regression were P0.05,and significant negative correlation between PCIS and PRISMⅢ could be found.The regression formula was:Y=56.467+(-0.59)X,(Y=PRISMⅢ,X=PCIS,t=-3.513 P=0.001).Conclusion It is unaccurate for PCIS and PRISMⅢ to forecast death of children with ARDS.