22. The value of the piro stratification system scale in predicting the severity of sepsis in children

Nguyen Huu Chau Duc, Pham Thi Ngoc Bich

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Abstract

Sepsis is a leading cause of mortality worldwide among children. The PIRO method has four components: location, infection, host reaction, and organ dysfunction. It is regarded as an optimal technique for categorizing septic patients. This research examines a cohort of 87 pediatric patients diagnosed with sepsis at the Children's Center of Hue Central Hospital from 2022 to 2023. The findings indicate that juvenile patients afflicted with sepsis have a significantly elevated death rate in comparison to the cohort unaffected by the ailment. The median duration of hospitalization was 12 days, raning from 10 to 17 days. Children with septic shock are more likely to have underlying chronic illness, decrease alertness or confusion, anemia, elevated creatinine, and iver enzymes. The PIRO scoring system is a valuable tool for predicting the severity of sepsis in children. With an area under the curve of 0.8, it performs well. At a cutoff point of 1.72, the PIRO scale can identify shock with a sensitivity of 63.3% and a specificity of 96.5%.

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References

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