Overview
Explore the historical perspective and framework of severity of illness research in pediatric critical care medicine through this comprehensive lecture by Dr. Murray Pollack, Director of Outcomes Research at Children's National Medical Center. Delve into the evolution of outcome predictions, from Virginia Apgar's newborn assessment to modern-day approaches like APACHE, PIM, and PRISM scores. Examine the relationship between multiple organ system failure and mortality risk, and understand the development of quality assessment models. Investigate various methods for measuring morbidity, including the Adaptive Behavior Scale and Functional Status Scale. Analyze the connections between physiological status, morbidity risk, and mortality risk. Learn about predictor variables in final models and the importance of goodness of fit tests in prediction models. Gain valuable insights into outcomes research frameworks that shape contemporary pediatric intensive care practices.
Syllabus
Intro
Multiple Organ System Failure, Mortality & Physiological Dysfunction
Predicting Mortality Risk
Severity of Illness Scores: Quality Assessment Model
PIM3: Outcomes Research Framework
PHIS: Outcomes Research Framework
PRISM: Outcomes Research Framework
Methods for Measuring Morbidity
Adaptive Behavior Scale
Functional Status Scale (FSS)
Physiological Status vs. Morbidity Risk
Physiological Status vs. Mortality Risk
Final Model: Predictor Variables
Prediction Models: Goodness of Fit Test
Taught by
OPENPediatrics