Reproducibility was poor for the categories trauma and unclassifiable, fair for the categories infections and placental/cord pathology, and very good to excellent for the categories maternal immune system pathology, congenital malformations and complications of prematurity.
PICU mortality is diverse and broadly divided into two mutually exclusive categories: trauma and non-trauma etiologies [ 11, 12].
Non communicable disease categories (trauma, post-operative observation, disease of circulatory system and pregnancy related conditions) accounted for over half of the admission diagnoses.
Comparing with non-trauma category, trauma patients had higher mortality score, no premorbid disease, suffered asystole preceding PICU admission and subsequent brain death.
The diagnostic category trauma included all diagnoses that were listed as traumatic processes; locomotor disorders were all those in systems skeletal, muscles and joints, except for the traumatic or neoplastic processes.
Clinical variables were disease category (trauma, medical, surgical and head injury/disease), Simplified Acute Physiology Score (SAPS) II [ 14], Nine Equivalent of Nursing Manpower use score (NEMS) [ 15], MV, duration of MV and length of stay in the ICU (LOS ICU).
In univariate analysis, a statistically significant association between higher CI and ARC (P = 0.013) was observed, while in multivariate modelling, age (≤50 years), diagnostic category (trauma) and modified SOFA score (≤4) were identified as significant risk factors for ARC.
Diaz-Prieto et al [ 32] found kappas for patient-proxy concordance ranging from 0.52 for mobility to 0.31 for anxiety/depression, without the effect of the type of patient/proxy relationship, or level of education or admission category (trauma, scheduled or unscheduled surgery, or medical).
The Ped-TTAS has shorter reassessment time intervals for acuity levels 1, 2, 3, 4 and 5 (0, 10, 30, 60 and 120 min, respectively) and classifies chief complaints into two categories (non-trauma and trauma).
The deaths were further divided into four categories of trauma: intentional self-harm (suicide), accidental injury, transport accidents, and homicide.
It contains 10 clinical scales under the three broad categories of trauma, self, and dysphoria.
