A prospective observational study to assess the efficacy of “SICK” score in pediatrics

Journal of Pediatric Critical Care Pub Date : 2023-07-01 DOI:10.4103/jpcc.jpcc_25_23

Shalini Thangaraj, Ilamaran Veerappan, SVenkatesh Karthik

{"title":"A prospective observational study to assess the efficacy of “SICK” score in pediatrics","authors":"Shalini Thangaraj, Ilamaran Veerappan, SVenkatesh Karthik","doi":"10.4103/jpcc.jpcc_25_23","DOIUrl":null,"url":null,"abstract":"Background: There is a need for pediatric scoring systems to monitor the progress in clinical outcomes, which are noninvasive, reliable, and easily measurable. Subjects and Methods: This prospective observational study evaluated the utility of a prevalidated “SICK” score for the purpose of assessing the score's efficacy in hospitalized children of age 1 month to 12 years. Results: Of the 531 cases, 145 (27.3%) were admitted to the pediatric intensive care unit (PICU) and 386 (72.7%) were admitted to the pediatric ward. The probability of PICU admission was 11.42 (95% confidence interval [CI] 6.3–20.7) when the “SICK” score was ≥2. Children with a score ≥2 had a significantly longer duration of stay (mean difference = 45.58 h, 95% CI [30.65–60.51], P = 0.001). The score performed with an area under curve of 0.691 for a cut off score. The positive predictive value of the score is 73.53% (95% CI 62.66–82.13) and the negative predictive value is 79.48% (95% CI 77.45–81.37). Conclusions: The score performed reasonably well in our center for a profile of moderately sick children and can be recommended to be used as an effective triaging tool in a similar setting.","PeriodicalId":34184,"journal":{"name":"Journal of Pediatric Critical Care","volume":"10 1","pages":"134 - 138"},"PeriodicalIF":0.0000,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Pediatric Critical Care","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.4103/jpcc.jpcc_25_23","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}

引用次数: 0

Abstract

Background: There is a need for pediatric scoring systems to monitor the progress in clinical outcomes, which are noninvasive, reliable, and easily measurable. Subjects and Methods: This prospective observational study evaluated the utility of a prevalidated “SICK” score for the purpose of assessing the score's efficacy in hospitalized children of age 1 month to 12 years. Results: Of the 531 cases, 145 (27.3%) were admitted to the pediatric intensive care unit (PICU) and 386 (72.7%) were admitted to the pediatric ward. The probability of PICU admission was 11.42 (95% confidence interval [CI] 6.3–20.7) when the “SICK” score was ≥2. Children with a score ≥2 had a significantly longer duration of stay (mean difference = 45.58 h, 95% CI [30.65–60.51], P = 0.001). The score performed with an area under curve of 0.691 for a cut off score. The positive predictive value of the score is 73.53% (95% CI 62.66–82.13) and the negative predictive value is 79.48% (95% CI 77.45–81.37). Conclusions: The score performed reasonably well in our center for a profile of moderately sick children and can be recommended to be used as an effective triaging tool in a similar setting.

查看原文本刊更多论文

一项评估儿科“SICK”评分效果的前瞻性观察研究

背景：需要一种无创、可靠且易于测量的儿科评分系统来监测临床结果的进展。受试者和方法：这项前瞻性观察性研究评估了预先验证的“SICK”评分的效用，以评估该评分在1个月至12岁住院儿童中的疗效。结果：在531例病例中，145例（27.3%）入住儿科重症监护室（PICU），386例（72.7%）入住儿科病房。当“SICK”评分≥2时，PICU入院的概率为11.42（95%置信区间[CI]6.3–20.7）。得分≥2的儿童的住院时间明显更长（平均差异=45.58小时，95%置信区间[30.65-60.51]，P=0.001）。该得分的截止得分曲线下面积为0.691。该评分的阳性预测值为73.53%（95%CI 62.66–82.13），阴性预测值为79.48%（95%CI 77.45–81.37）。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Journal of Pediatric Critical Care

自引率

0.00%

发文量

审稿时长

8 weeks