Are the pediatric index of mortality 2 and 3 equal predictors of mortality? an intensive care unit-based concordance study

Q2

Autores:
Patino-Hernández, Daniela
Quiñonez López, Alba Deyanira
Zuluaga, César Augusto
García Peña, Ángel Alberto
Muñoz-Velandia, Oscar Mauricio
Tipo de recurso:
Article of data
Fecha de publicación:
2020
Institución:
Pontificia Universidad Javeriana
Repositorio:
Repositorio Universidad Javeriana
Idioma:
eng
OAI Identifier:
oai:repository.javeriana.edu.co:10554/56859
Acceso en línea:
https://pubmed.ncbi.nlm.nih.gov/33470360/
http://hdl.handle.net/10554/56859
http://dx.doi.org/10.5935/0103-507X.20200096
Palabra clave:
Pediatric index of mortality
Mortality
Infant
Newborn
Cardiac surgery
Intensive care units
Pediatric
Rights
License
Atribución-NoComercial 4.0 Internacional
id JAVERIANA2_41887a342cf5a271955a1e6989b266b7
oai_identifier_str oai:repository.javeriana.edu.co:10554/56859
network_acronym_str JAVERIANA2
network_name_str Repositorio Universidad Javeriana
repository_id_str
dc.title.spa.fl_str_mv Are the pediatric index of mortality 2 and 3 equal predictors of mortality? an intensive care unit-based concordance study
dc.title.alternative.spa.fl_str_mv Pediatric Index of Mortality 2 e 3 são preditores de mortalidade iguais? Estudo de concordância com base em unidade de terapia intensiva
title Are the pediatric index of mortality 2 and 3 equal predictors of mortality? an intensive care unit-based concordance study
spellingShingle Are the pediatric index of mortality 2 and 3 equal predictors of mortality? an intensive care unit-based concordance study
Pediatric index of mortality
Mortality
Infant
Newborn
Cardiac surgery
Intensive care units
Pediatric
title_short Are the pediatric index of mortality 2 and 3 equal predictors of mortality? an intensive care unit-based concordance study
title_full Are the pediatric index of mortality 2 and 3 equal predictors of mortality? an intensive care unit-based concordance study
title_fullStr Are the pediatric index of mortality 2 and 3 equal predictors of mortality? an intensive care unit-based concordance study
title_full_unstemmed Are the pediatric index of mortality 2 and 3 equal predictors of mortality? an intensive care unit-based concordance study
title_sort Are the pediatric index of mortality 2 and 3 equal predictors of mortality? an intensive care unit-based concordance study
dc.creator.fl_str_mv Patino-Hernández, Daniela
Quiñonez López, Alba Deyanira
Zuluaga, César Augusto
García Peña, Ángel Alberto
Muñoz-Velandia, Oscar Mauricio
dc.contributor.author.none.fl_str_mv Patino-Hernández, Daniela
Quiñonez López, Alba Deyanira
Zuluaga, César Augusto
García Peña, Ángel Alberto
Muñoz-Velandia, Oscar Mauricio
dc.contributor.corporatename.spa.fl_str_mv Pontificia Universidad Javeriana. Facultad de Medicina. Departamento de Medicina Interna. Cardiología
dc.contributor.javerianateacher.none.fl_str_mv García Peña, Ángel Alberto
dc.subject.keyword.spa.fl_str_mv Pediatric index of mortality
Mortality
Infant
Newborn
Cardiac surgery
Intensive care units
Pediatric
topic Pediatric index of mortality
Mortality
Infant
Newborn
Cardiac surgery
Intensive care units
Pediatric
description Q2
publishDate 2020
dc.date.created.none.fl_str_mv 2020-05-25
dc.date.accessioned.none.fl_str_mv 2021-09-03T17:38:33Z
dc.date.available.none.fl_str_mv 2021-09-03T17:38:33Z
dc.type.local.spa.fl_str_mv Artículo de revista
dc.type.coar.spa.fl_str_mv http://purl.org/coar/resource_type/c_beb9
format http://purl.org/coar/resource_type/c_beb9
dc.identifier.spa.fl_str_mv https://pubmed.ncbi.nlm.nih.gov/33470360/
dc.identifier.issn.spa.fl_str_mv 0103-507X / 1982-4335 (Electrónico)
dc.identifier.uri.none.fl_str_mv http://hdl.handle.net/10554/56859
dc.identifier.doi.spa.fl_str_mv http://dx.doi.org/10.5935/0103-507X.20200096
dc.identifier.instname.spa.fl_str_mv instname:Pontificia Universidad Javeriana
dc.identifier.reponame.spa.fl_str_mv reponame:Repositorio Institucional - Pontificia Universidad Javeriana
dc.identifier.repourl.spa.fl_str_mv repourl:https://repository.javeriana.edu.co
url https://pubmed.ncbi.nlm.nih.gov/33470360/
http://hdl.handle.net/10554/56859
http://dx.doi.org/10.5935/0103-507X.20200096
identifier_str_mv 0103-507X / 1982-4335 (Electrónico)
instname:Pontificia Universidad Javeriana
reponame:Repositorio Institucional - Pontificia Universidad Javeriana
repourl:https://repository.javeriana.edu.co
dc.language.iso.spa.fl_str_mv eng
language eng
dc.relation.citationstartpage.spa.fl_str_mv 578
dc.relation.citationendpage.spa.fl_str_mv 584
dc.relation.ispartofjournal.spa.fl_str_mv Revista Brasileira de Terapia Intensiva
dc.relation.citationvolume.spa.fl_str_mv 32
dc.relation.citationissue.spa.fl_str_mv 4
dc.rights.licence.*.fl_str_mv Atribución-NoComercial 4.0 Internacional
dc.rights.uri.*.fl_str_mv http://creativecommons.org/licenses/by-nc/4.0/
dc.rights.coar.spa.fl_str_mv http://purl.org/coar/access_right/c_abf2
rights_invalid_str_mv Atribución-NoComercial 4.0 Internacional
http://creativecommons.org/licenses/by-nc/4.0/
http://purl.org/coar/access_right/c_abf2
dc.format.spa.fl_str_mv PDF
dc.format.mimetype.spa.fl_str_mv application/pdf
institution Pontificia Universidad Javeriana
bitstream.url.fl_str_mv http://repository.javeriana.edu.co/bitstream/10554/56859/1/rbti-32-04-0578.pdf
http://repository.javeriana.edu.co/bitstream/10554/56859/2/license.txt
http://repository.javeriana.edu.co/bitstream/10554/56859/3/rbti-32-04-0578.pdf.jpg
bitstream.checksum.fl_str_mv a1247516659e4fb63a298303ae8803ec
2070d280cc89439d983d9eee1b17df53
4fe26027f19099bbe2ecfe4fd7f98161
bitstream.checksumAlgorithm.fl_str_mv MD5
MD5
MD5
repository.name.fl_str_mv Repositorio Institucional - Pontificia Universidad Javeriana
repository.mail.fl_str_mv repositorio@javeriana.edu.co
_version_ 1811671397079973888
spelling Atribución-NoComercial 4.0 Internacionalhttp://creativecommons.org/licenses/by-nc/4.0/http://purl.org/coar/access_right/c_abf2Patino-Hernández, DanielaQuiñonez López, Alba DeyaniraZuluaga, César AugustoGarcía Peña, Ángel AlbertoMuñoz-Velandia, Oscar MauricioPontificia Universidad Javeriana. Facultad de Medicina. Departamento de Medicina Interna. CardiologíaGarcía Peña, Ángel Alberto2021-09-03T17:38:33Z2021-09-03T17:38:33Z2020-05-25https://pubmed.ncbi.nlm.nih.gov/33470360/0103-507X / 1982-4335 (Electrónico)http://hdl.handle.net/10554/56859http://dx.doi.org/10.5935/0103-507X.20200096instname:Pontificia Universidad Javerianareponame:Repositorio Institucional - Pontificia Universidad Javerianarepourl:https://repository.javeriana.edu.coPDFapplication/pdfengAre the pediatric index of mortality 2 and 3 equal predictors of mortality? an intensive care unit-based concordance studyPediatric Index of Mortality 2 e 3 são preditores de mortalidade iguais? Estudo de concordância com base em unidade de terapia intensivaArtículo de revistahttp://purl.org/coar/resource_type/c_beb9Q2Q2Objective: To determine the concordance of mortality risk classification through the use of the Pediatric Index of Mortality (PIM) 2 and 3. Methods: Through a retrospective cohort, we evaluated patients admitted to the pediatric intensive care unit between April 2016 and December 2018. We calculated the mortality risk with the PIM 2 and 3. Analyses were carried out to determine the concordance between the risk classification obtained with both scales using unweighted and linearly weighted kappa. Results: A total of 722 subjects were included, and 66.6% had a chronic condition. The overall mortality was 3.7%. The global kappa concordance coefficient for classifying patients according to risk with the PIM 2 and 3 was moderate at 0.48 (95%CI 0.43 - 0.53). After linear weighting, concordance was substantial at 0.64 (95%CI 0.59 - 0.69). For cardiac surgery patients, concordance for risk classification was fair at 0.30 (95%CI 0.21 - 0.39), and after linear weighting, concordance was only moderate at 0.49 (95%CI 0.39 - 0.59). The PIM 3 assigned a lower risk than the PIM 2 in 44.8% of patients in this subgroup. Conclusion: Our study proves that the PIM 2 and 3 are not clinically equivalent and should not be used interchangeably for quality evaluation across pediatric intensive care units. Validation studies must be performed before using the PIM 2 or PIM 3 in specific settings.https://orcid.org/0000-0002-3606-2102Revista Internacional - IndexadaA2Pediatric index of mortalityMortalityInfantNewbornCardiac surgeryIntensive care unitsPediatric578584Revista Brasileira de Terapia Intensiva324ORIGINALrbti-32-04-0578.pdfrbti-32-04-0578.pdfArtículoapplication/pdf127027http://repository.javeriana.edu.co/bitstream/10554/56859/1/rbti-32-04-0578.pdfa1247516659e4fb63a298303ae8803ecMD51open accessLICENSElicense.txtlicense.txttext/plain; charset=utf-82603http://repository.javeriana.edu.co/bitstream/10554/56859/2/license.txt2070d280cc89439d983d9eee1b17df53MD52open accessTHUMBNAILrbti-32-04-0578.pdf.jpgrbti-32-04-0578.pdf.jpgIM Thumbnailimage/jpeg9342http://repository.javeriana.edu.co/bitstream/10554/56859/3/rbti-32-04-0578.pdf.jpg4fe26027f19099bbe2ecfe4fd7f98161MD53open access10554/56859oai:repository.javeriana.edu.co:10554/568592023-07-11 11:06:39.575Repositorio Institucional - Pontificia Universidad Javerianarepositorio@javeriana.edu.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