第3代小儿死亡危险评分和小儿危重病例评分的应用

Pediatric Risk of Mortality Ⅲ Score and Pediatric Critical Illness Score

第3代小儿死亡危险评分(pediatric risk of mortalityⅢ,PRISMⅢscore)和小儿危重病例评分(pediatric critical illnessscore,PCIS)均为生理学危重评分法。前者发表于1996年,由原PRISM评分发展而来,有17个生理参数,26个生理参数范围,是世界上应用最广泛的儿科评估病情和预后的工具。后者公布于1995年,有10项生理指标,其简便、有效、适合国情,是国内应用最广泛、有效的儿科危重评分法。二者均经过大规模临床应用验证。除评估病情和预后,还可评估ICU工作质量和效益,对比不同ICU患者状况、资源利用和管理,进行危重症临床研究。本研究对PRISMⅢ的应用及其与PCIS的进行对比研究。

The pediatric risk of mortality Ⅲ （PRISM Ⅲ ） score and pediatric critical illness score （PCIS） are physiology-based soores for assessing the severity of illness and mortality risk in pediatric patients. The PRISM Ⅲ score was revised version of the PRISM and was first developed in 1996. It includes 17 physiologic variables subdivided into 26 ranges. It had been validated by numerous studies worldwide and is the most widely known and used at pediatrics intensive care unit（PICU）. The PCIS was first developed in 1995 in China, which included 10 physiologic variables. It had been validated by numerous studies nationwide and was simple, effective and suitable to Chinese situations. The scoring systems also can be used for quality assessments, grading the severity of illness in clinical study, and studies of ICU resource utilization and management. There were no such study for validating the PRISM Ⅲ at present, comparing the performance of the PRISM Ⅲ score and the PCIS in China.