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.
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;
Mortality increased as the PRISM score
at 0-12 hrs worsened or higher.
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.