PEDIATRIC RISK OF MORTALITY (PRISM) CALCULATOR

Physiologic variables are measured only in the first 4 hours of PICU care, and laboratory variables are measured in the time period from 2 hours before PICU admission through the first 4 hours. Neurologic score is calculated using GCS and Pupillary reflexes scores. Non-Neurologic is calculated from the remainder.

-Pollack MM, Dean JM, Butler J, et al: The ideal time interval for critical care severity-of-illness assessment. Pediatric Critical Care Med 2013; 14:448-453

https://www.cpccrn.org/documents/2013_PMID23628831_Pollack.pdf

Age


Variable Lowest and/or Highest Measurements around PICU Admission Category Score

SCORE:

NEUROLOGIC SCORE :

NON-NEUROLOGIC SCORE:

Systolic blood pressure      Low:   mmHg
Temperature       Low: °C                High: °C
Mental Status (glasgow coma scale)        GCS
Heart Rate      High:   beats per minute
Number of Pupils > 3mm And Fixed       
pH       Low: pH              High: pH
Total CO2       Low:   mmol/L     High:   mmol/L
Acidosis or Total CO2       calculated from lowest pH or lowest Total CO2
PCO2      High:   mmHg
Arterial PaO2      Low:   mmHg
Glucose      High:
Potassium      High:
Creatinine      High:
Urea      High:
White Blood Cells      Low:   cells/mm³
PT:      High:   seconds
PTT:      High:   seconds
Platelets      Low:  cells/mm³

The calculator tool is provided “as is” and without any warranty of any kind, express or implied.  In no event shall the University of Utah, CPCCRN, or the authors be liable for any claims, damages or other liability arising out of use of the calculator tool.

Prism IV Calculator

The calculator tool is provided “as is” and without any warranty of any kind, express or implied.  In no event shall the University of Utah, CPCCRN, or the authors be liable for any claims, damages or other liability arising out of use of the calculator tool. Prism IV Calculator