| Cardiovascular and Neurologic Vital Signs | |||||
---|---|---|---|---|---|---|
PRISM-3 score | Age Range: Neonate 0 to < 1 month Infant 1 to 12 month Child > 12 to 144 months Adolescent > 144 months | SBP (mm Hg) Neonate > 55 mmHg →0 Neonate 40–55 mmHg →3 Neonate < 40 mmHg →7 Infant > 65 mmHg →0 Infant 45–65 mmHg →3 Infant < 45 mmHg →7 Child > 75 mmHg →0 Child 55–75 mmHg →3 Child < 55 mmHg →7 Adolescent > 85 mmHg →0 Adolescent 65–85 mmHg →3 Adolescent < 65 mmHg →7 | Heart Rate (beats/minute) Neonate < 215 →0 Neonate 215–225 →3 Neonate > 225 →4 Infant < 215 →0 Infant 215–225 →3 Infant > 225 →4 Child < 185 →0 Child 185–205 →3 Child > 205 →4 Adolescent < 145 →0 Adolescent 145–155 →3 Adolescent > 155 →4 | Temp (°C) <  33→ 3 33–40 →0 >  40→ 3 | Mental status GCS ≥ 8→ 0 GCS < 8 →5 | Pupillary response Both reactive →0 1 reactive (1 fixed and > 3 mm) →7 Both fixed and both > 3 mm→11 |
Blood Gasometery | ||||||
Acidosis pH > 7.28 & TCO2 ≥ 17 mEq/L →0 pH 7.0–7.28 or TCO2 5–16.9 mEq/L →2 pH < 7.0 or TCO2 < 5 mEq/L →6 | PCO2 (mm Hg) <  50 →0 50–75→ 1 >  75 →3 | PH <  7.48 →0 7.48–7.55 →2 >  7.55 →3 | TCO2(mEq/L) ≤ 34 →0 >  34 →4 | PaO2 (mmHg) ≥ 50 →0 42–49.9 →3 <  42 → 6 | ||
Chemistry Tests | ||||||
Creatin (mg/dL) Neonate ≤0.85 →0 Neonate > 0.85 →2 Infant ≤0.90 →0 Infant > 0.90 →2 Child ≤0.90 →0 Child > 0.90 →2 Adolescent ≤1.30→0 Adolescent > 1.30 →2 | Potassium (mEq/L) ≤ 6.9 →0 >  6.9 →3 | Glucose (mg/dL) ≤ 200 →0 >  200 →2 | BUN (mg/dL) Neonate ≤11.9 →0 Neonate > 11.9 →3 Not neonate ≤14.9 →0 Not neonate > 14.9 →3 | |||
Hematologic Tests | ||||||
PT & PTT Neonate PT ≤ 22 s and PTT ≤ 85 s →0 Neonate PT > 22 s or PTT > 85 s →3 Not neonate PT ≤ 22 s & PTT ≤ 57 s →0 Not neonate PT > 22 s or PTT > 57 s →3 | Platelet (μL) >  200,000 →0 100,000–200,000 →2 50,000-99,999→ 4 <  50,000 →5 | WBC (μL) ≥ 3000 →0 <  3000 →4 | ||||
Logit = 0.207 × PRISM-3 score - (0.005 × (age in months) – 0.433 × 1 (if postoperative) – 4.782 | ||||||
PIM-3 score | PIM-3 score = (3.8233 × pupillary reaction) + (− 0.5378 × elective admission) + (0.9763 × mechanical ventilation) + (0.0671 × [absolute {base excess}]) + (− 0.0431 × SBP) + (0.1716 × [SBP2/1000]) + (0.4214 × [{FiO2 × 100}/PaO2]) − (1.2246 × bypass cardiac procedure) − (0.8762 × non-bypass cardiac procedure) − (1.5164 × noncardiac procedure) + (1.6225 × very high-risk diagnosis) + (1.0725 × high-risk diagnosis) − (2.1766 × low-risk diagnosis) − 1.7928. | |||||
Probability of death = exp. (PIM-3 score)/[1 + exp. (PIM-3 score)] |