PRISM IV Calculator

PEDIATRIC RISK OF MORTALITY (PRISM IV) CALCULATOR

Physiologic variables are measured only in the first 4 hours of PICU care, and laboratory variables are measured in the time period from 2 hours before PICU admission through the first 4 hours.

-Pollack MM, Dean JM, Butler J, et al: The ideal time interval for critical care severity-of-illness assessment. Pediatric Critical Care Med 2013; 14:448-453

https://www.cpccrn.org/documents/44_Pollack2015_PMID26492059.pdf

PRISM III Calculator

Variable	Variable Values
*Endocrine, hematologic, musculoskeletal, and renal systems of primary dysfunction are defined as ‘low risk.’
Age	0 to < 14 d14 d to < 1 mo1 mo to < 12 mo12 mo to >= 18 years
Admission source	Operating room or postanesthesia care unitAnother hospitalInpatient unitEmergency department
Cardiopulmonary resuscitation within 24 hr before PICU admission	YesNo
Cancer (acute or chronic)	YesNo
Low-risk systems of primary dysfunction*	YesNo
Neurologic variable subscore
Non-neurologic variable subscore

	Estimated probability of mortality: