Assessment of pediatric critical index score and pediatric index of mortality in pediatric acute respiratory distress syndrome

Objective: To evaluate feasibility of a domestic Pediatric Critical Index Score (PCIS) and Pediatric Index of Mortality (PIM) in pediatric ARDS in China. Method: PCIS and PIM were applied to ARDS children at fo ur particular moments. Patients were grouped according to the outcome. PCIS and PIM could be used as criteria for comparison between groups. The ROC curves of PCIS and PIM at different moments were conducted. The area under the curve (AUC) was calculated. Results: There were significant difference of PCIS and PIM when children got severe situation in PICU (P = 0.006 and P = 0.013, respectively). There was significant difference between survived and dead patients after one hour ARDS diagnosed (P = 0.031). All AUC at different moments were less than 0.75. Conclusions: Both PCIS and PIM c an be useful for evatuating severity and trend of the ARDS children. But the predictive value of relavent outcome were limited.