@article{Zamir_Nadeem_Tabussam_2023, title={Accuracy of pSOFA Score in Predicting Outcomes in Critically Ill Children}, volume={73}, url={https://pafmj.org/PAFMJ/article/view/8990}, DOI={10.51253/pafmj.v73i2.8990}, abstractNote={<p><strong>Objectives:</strong> To determine the diagnostic accuracy of the pSOFA score in predicting mortality in critically ill pediatric patients.</p> <p><strong>Study Design:</strong> Cross-sectional validation study.</p> <p><strong>Place and Duration of Study:</strong> Department of Paediatrics, Pak-Emirates Military Hospital, Rawalpindi Pakistan, Aug 2021 to Feb 2022.</p> <p><strong>Methodology:</strong> We studied 76 critically ill paediatric patients. All patients underwent pSOFA scoring on admission and then at 72 hours post-admission and were followed up till discharge or till mortality occurred. A pSOFA score of >10 was considered a high mortality risk. The two-by-two table was constructed to calculate the sensitivity, specificity and diagnostic accuracy of the pSOFA score in predicting the occurrence of death. </p> <p><strong>Results:</strong> The pSOFA score had a sensitivity of 88.9% at Day-0, which improved to 100% by Day-7 in predicting whether mortality occurred. The specificity was 80.6% on Day-0 and 97.0% on Day-7. The diagnostic accuracy of pSOFA in predicting mortality was 81.6% when performed on the day of admission, which increased to 90.8% when calculated on Day 3 and was the highest on Day-7 when it was 97.4%.</p> <p><strong>Conclusion:</strong> The pSOFA score has good diagnostic accuracy in predicting the occurrence of mortality in paediatric patients admitted to intensive care, which increases as the length of stay increases.</p>}, number={2}, journal={Pakistan Armed Forces Medical Journal}, author={Zamir, Saba and Nadeem, Muhammad Tariq and Tabussam, Samina}, year={2023}, month={Apr.}, pages={523–26} }