Evaluation of Pediatric Sequential Organ Failure Assessment Score (pSOFA) in Predicting the Mortality and Outcome of the Patients Admitted in Pediatric ICU in Tertiary Care Hospital

Objective: The Pediatric Intensive Care Unit plays an important role in delivering demanding and required care to seriously ill children. The aim of the study is to determine the application of pSOFA scores as a predictor of outcome in children admitted to the pediatric intensive care unit. Methods: This was a hospital based cross sectional study conducted at the Pediatric Intensive Care Unit (PICU) of the Assam medical college and hospital from july 2023 to december 2023. Forty critically ill children from age one month to twelve years of either gender, admitted in PICU for more than 24 hours were included. The p-SOFA score was calculated for all eligible children at the time of admission. Data was analyzed using Statistical Package for the Social Sciences (SPSS) version 23. Results: The mean pSOFA score was found to be more in those participants who expired (10.86±1.35) compared to those who were discharged (3.79±2.64). This difference was found to be statistically significant. The pSOFA score was found to be more in non survivors compared to survivors which was statistically significant. Conclusion: The pSOFA score at the time of admission is a simple tool which is useful for predicting the mortality and outcome of the critically ill patients requiring PICU admission. Keywords: Pediatric sequential organ failure assessment (p-SOFA), Pediatric intensive care unit, Mortality, Children, Organ dysfunction, Mortality prediction