PRISM score

PRISM score

Pediatric Risk of Mortality score. A prognostic scoring system derived from 14 physiologic variables assessed during the first 24 hours in a paediatric ITU/ICU; it is derived from the physiology stability index (PSI), which assesses 34 physiological variables, assigning each a score of 1 to 5 based on the severity of derangement on admission to the ITU/ICU.

PRISM score

Pediatric Risk of Mortality score Critical care A prognostic scoring system derived from 14 physiologic variables assessed during the first 24 hrs of care in an ICU for pediatric populations that derives from the PSI–physiology stability index. See Prognostic scoring systems.
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However, there is a limited data for application of PRISM score in Pakistan and there is a need to determine whether it can be effectively utilized in our setup9.
PRISM scores ranged between min: 8 and max: 41, and the mean PRISM score was 22[+ or -]9.2.
The key rating sensitivities that could lead to a downgrade are a combined ratio exceeding 105% on a sustained basis, evidence of deteriorating profitability on recent growth or failure to maintain a P/C Prism score in the 'Very Strong' category.
The overall performance of PRISM Score was good with reasonable agreement between observed and expected mortality across the most mortality risk intervals.
Twenty-five patients had all the information required to calculate the PRISM score and 23 the PELOD score.
In the group treated with 1 gram of the medication, a significant reduction was found when the median PRISM score recorded in the luteal phase at baseline (99) was compared with the median score recorded in the 3rd month (58) and in the 6th month of evaluation (35).
Our results are also in agreement to those of previous studies, which showed that the risk of NI increased with central line use, prolonged intubation, ventilation, paralysis, total parenteral nutrition, or with a PRISM score greater than or equal to 10.
- Improved capital metrics for Jackson as measured, for example, by a Prism score consistently above 'Strong'.
The PRISM III score utilizes appropriate age-adjusted physiologic variables unlike the original PRISM score where age was included as an explicit variable (3,13).
--Improved capital adequacy that results in a Prism score approaching 'Very Strong', or an RBC ratio above 350% with sustained or improved capital quality;
Key rating sensitivities that could lead to a downgrade include an increase in statutory net leverage to greater than 3.0x, the failure to maintain a Prism score within the 'Strong' category, and a sustained deterioration in the membership base.