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March 2021 List
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March 2021 List
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<a href="http://doi.org/10.1097/pcc.0000000000002347" target="_blank" rel="noreferrer noopener">http://doi.org/10.1097/pcc.0000000000002347</a>
Dublin Core
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Title
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Validation of an Electronic Pediatric Index of Mortality 2 Score in a Mixed Quaternary PICU
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Pediatric Critical Care Medicine
Date
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2020
Subject
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Infant; Child; Humans; Severity of Illness Index; Retrospective Studies; Hospital Mortality; Cohort Studies; Intensive Care Units Pediatric; Electronics
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Joyce EL; Crana CM; Yabes J; Kellum JA
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OBJECTIVE: To assess the validity of an electronic version of the Pediatric Index of Mortality 2 score. DESIGN: Retrospective observational study. SETTING: Pediatric and cardiac ICUs at a quaternary medical center. PATIENTS: Patients more than 60 days old admitted to the PICU or cardiac ICU between January 1, 2010, and December 31, 2014. INTERVENTIONS: None. MEASUREMENTS AND MAIN RESULTS: After adapting the Pediatric Index of Mortality 2 score into a version applicable to retrospective electronic health record data, it was validated in a mixed-ICU cohort. A manually ascertained Pediatric Index of Mortality 2 score was directly compared with the electronically derived electronic version of the Pediatric Index of Mortality 2 score in 100 randomly selected patients with good agreement between score components with nine out of 11 components having an intraclass correlation coefficient or Cohen κ greater than or equal to 0.6. In assessing the electronic version of the Pediatric Index of Mortality 2 score in the entire cohort of 12,582 patient encounters, it had good discrimination with area under the receiver operating curve of 0.89, appropriate calibration with no significant difference between observed and expected deaths, and excellent predictive ability with a Brier score of 0.0135. CONCLUSIONS: The Pediatric Index of Mortality 2 score can be adapted to utilize retrospective electronic health record data with acceptable discrimination, calibration and accuracy a large mixed-ICU cohort.
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<a href="http://doi.org/10.1097/pcc.0000000000002347" target="_blank" rel="noreferrer noopener">10.1097/pcc.0000000000002347</a>
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Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
2020
Child
Cohort Studies
Crana CM
Electronics
Hospital Mortality
Humans
Infant
Intensive Care Units Pediatric
Joyce EL
Kellum JA
March 2021 List
Pediatric Critical Care Medicine
Retrospective Studies
Severity Of Illness Index
Yabes J