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首页> 外文期刊>Archives of disease in childhood >Calibration of the paediatric index of mortality in UK paediatric intensive care units.
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Calibration of the paediatric index of mortality in UK paediatric intensive care units.

机译:英国儿科重症监护病房的儿科死亡率指数的校准。

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AIM: To test a paediatric intensive care mortality prediction model for UK use. METHOD: Prospective collection of data from consecutive admissions to five UK paediatric intensive care units (PICUs), representing a broad cross section of paediatric intensive care activity. A total of 7253 admissions were analysed using tests of the discrimination and calibration of the logistic regression equation. RESULTS: The model discriminated and calibrated well. The area under the ROC plot was 0.84 (95% CI 0.819 to 0.853). The standardised mortality ratio was 0.87 (95% CI 0.81 to 0.94). There was remarkable concordance in the performance of the paediatric index of mortality (PIM) within each PICU, and in the performance of the PICUs as assessed by PIM. Variation in the proportion of admissions that were ventilated or transported from another hospital did not affect the results. CONCLUSION: We recommend that UK PICUs use PIM for their routine audit needs. PIM is not affected by the standard of therapy after admission to PICU, the information needed to calculate PIM is easy to collect, and the model is free.
机译:目的:测试供英国使用的儿科重症监护死亡率预测模型。方法:前瞻性收集连续入院至五个英国儿科重症监护室(PICU)的数据,代表了广泛的儿科重症监护活动。使用逻辑回归方程的判别和校准测试对总共7253名入学者进行了分析。结果:该模型能够很好地进行区分和校准。 ROC图下的面积为0.84(95%CI为0.819至0.853)。标准化死亡率为0.87(95%CI为0.81至0.94)。每个PICU的儿科死亡率指数(PIM)的表现与PIM评估的PICU的表现有着显着的一致性。从另一家医院通气或转运的入院比例的变化不影响结果。结论:我们建议英国PICU使用PIM满足其日常审计需求。进入PICU后,PIM不受治疗标准的影响,计算PIM所需的信息易于收集,并且该模型是免费的。

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