J Korean Acad Nurs.  2005 Feb;35(1):47-55.

Evaluating the Validity of the Pediatric Index of Mortality II in the Intensive Care Units

  • 1Department of Nursing, College of Medical, Pusan National University, Korea.
  • 2Intensive Care Unit, Pusan National University Hospital, Korea. boosj77@yahoo.co.kr


PURPOSE: This study was to evaluate the validity of the Pediatric Index of Mortality II(PIM II). METHOD: The first values on PIM II variables following ICU admission were collected from the patient's charts of 548 admissions retrospectively in three ICUs(medical, surgical, and neurosurgical) at P University Hospital and a cardiac ICU at D University Hospital in Busan from January 1, 2002 to December 31, 2003. Data was analyzed with the SPSSWIN 10.0 program for the descriptive statistics, correlation coefficient, standardized mortality ratio(SMR), validity index(sensitivity, specificity, positive predictive value, negative predictive value), and AUC of ROC curve. RESULT: The mortality rate was 10.9%(60 cases) and the predicted death rate was 9.5%. The correlation coefficient(r) between observed and expected death rates was .929(p<.01) and SMR was 1.15. Se, Sp, pPv, nPv, and the correct classification rate were .80, .96, .70, .98, and 94.0% respectively. In addition, areas under the curve(AUC) of the receiver operating characteristic(ROC) was 0.954(95% CI=0.919~0.989). According to demographic characteristics, mortality was underestimated in the medical group and overestimated in the surgical group. In addition, the AUCs of ROC curve were generally high in all subgroups. CONCLUSION: The PIM II showed a good, so it can be utilized for the subject hospital.


Validity (Epidemiology); Intensive care units; Pediatric; Severity of illness index; Mortality

MeSH Terms

Severity of Illness Index
*Intensive Care Units, Pediatric
Infant, Newborn
*Hospital Mortality
Child, Preschool
*Child Mortality
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