Serum anion gap at admission as a predictor of mortality in the pediatric intensive care unit
Abstract An accurate method to predict the mortality in the intensive care unit (ICU) patients has been required, especially in children. The aim of this study is to evaluate the value of serum anion gap (AG) for predicting mortality in pediatric ICU (PICU). We reviewed a data of 461 pediatric patie...
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doaj-95c46f186ce342da98ff5c4f932ff30e2020-12-08T00:45:42ZengNature Publishing GroupScientific Reports2045-23222017-05-01711810.1038/s41598-017-01681-9Serum anion gap at admission as a predictor of mortality in the pediatric intensive care unitMin Jung Kim0Yoon Hee Kim1In Suk Sol2Soo Yeon Kim3Jong Deok Kim4Ha Yan Kim5Kyung Won Kim6Myung Hyun Sohn7Kyu-Earn Kim8Department of Pediatrics, Severance Hospital, Institute of Allergy, Brain Korea 21 PLUS Project for Medical Science, Yonsei University College of MedicineDepartment of Pediatrics, Severance Hospital, Institute of Allergy, Brain Korea 21 PLUS Project for Medical Science, Yonsei University College of MedicineDepartment of Pediatrics, Severance Hospital, Institute of Allergy, Brain Korea 21 PLUS Project for Medical Science, Yonsei University College of MedicineDepartment of Pediatrics, Severance Hospital, Institute of Allergy, Brain Korea 21 PLUS Project for Medical Science, Yonsei University College of MedicineDepartment of Pediatrics, Severance Hospital, Institute of Allergy, Brain Korea 21 PLUS Project for Medical Science, Yonsei University College of MedicineBiostatistics Collaboration Unit, Yonsei University College of MedicineDepartment of Pediatrics, Severance Hospital, Institute of Allergy, Brain Korea 21 PLUS Project for Medical Science, Yonsei University College of MedicineDepartment of Pediatrics, Severance Hospital, Institute of Allergy, Brain Korea 21 PLUS Project for Medical Science, Yonsei University College of MedicineDepartment of Pediatrics, Severance Hospital, Institute of Allergy, Brain Korea 21 PLUS Project for Medical Science, Yonsei University College of MedicineAbstract An accurate method to predict the mortality in the intensive care unit (ICU) patients has been required, especially in children. The aim of this study is to evaluate the value of serum anion gap (AG) for predicting mortality in pediatric ICU (PICU). We reviewed a data of 461 pediatric patients were collected on PICU admission. Corrected anion gap (cAG), the AG compensated for abnormal albumin levels, was significantly lower in survivors compared with nonsurvivors (p < 0.001). Multivariable logistic regression analysis identified the following variables as independent predictors of mortality; cAG (OR 1.110, 95% CI 1.06–1.17; p < 0.001), PIM3 [OR 7.583, 95% CI 1.81–31.78; p = 0.006], and PRISM III [OR 1.076, 95% CI 1.02–1.14; p = 0.008]. Comparing AUCs for mortality prediction, there were no statistically significant differences between cAG and other mortality prediction models; cAG 0.728, PIM2 0.779, PIM3 0.822, and PRISM III 0.808. The corporation of cAG to pre-existing mortality prediction models was significantly more accurate at predicting mortality than using any of these models alone. We concluded that cAG at ICU admission may be used to predict mortality in children, regardless of underlying etiology. And the incorporation of cAG to pre-existing mortality prediction models might improve predictability.https://doi.org/10.1038/s41598-017-01681-9 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Min Jung Kim Yoon Hee Kim In Suk Sol Soo Yeon Kim Jong Deok Kim Ha Yan Kim Kyung Won Kim Myung Hyun Sohn Kyu-Earn Kim |
spellingShingle |
Min Jung Kim Yoon Hee Kim In Suk Sol Soo Yeon Kim Jong Deok Kim Ha Yan Kim Kyung Won Kim Myung Hyun Sohn Kyu-Earn Kim Serum anion gap at admission as a predictor of mortality in the pediatric intensive care unit Scientific Reports |
author_facet |
Min Jung Kim Yoon Hee Kim In Suk Sol Soo Yeon Kim Jong Deok Kim Ha Yan Kim Kyung Won Kim Myung Hyun Sohn Kyu-Earn Kim |
author_sort |
Min Jung Kim |
title |
Serum anion gap at admission as a predictor of mortality in the pediatric intensive care unit |
title_short |
Serum anion gap at admission as a predictor of mortality in the pediatric intensive care unit |
title_full |
Serum anion gap at admission as a predictor of mortality in the pediatric intensive care unit |
title_fullStr |
Serum anion gap at admission as a predictor of mortality in the pediatric intensive care unit |
title_full_unstemmed |
Serum anion gap at admission as a predictor of mortality in the pediatric intensive care unit |
title_sort |
serum anion gap at admission as a predictor of mortality in the pediatric intensive care unit |
publisher |
Nature Publishing Group |
series |
Scientific Reports |
issn |
2045-2322 |
publishDate |
2017-05-01 |
description |
Abstract An accurate method to predict the mortality in the intensive care unit (ICU) patients has been required, especially in children. The aim of this study is to evaluate the value of serum anion gap (AG) for predicting mortality in pediatric ICU (PICU). We reviewed a data of 461 pediatric patients were collected on PICU admission. Corrected anion gap (cAG), the AG compensated for abnormal albumin levels, was significantly lower in survivors compared with nonsurvivors (p < 0.001). Multivariable logistic regression analysis identified the following variables as independent predictors of mortality; cAG (OR 1.110, 95% CI 1.06–1.17; p < 0.001), PIM3 [OR 7.583, 95% CI 1.81–31.78; p = 0.006], and PRISM III [OR 1.076, 95% CI 1.02–1.14; p = 0.008]. Comparing AUCs for mortality prediction, there were no statistically significant differences between cAG and other mortality prediction models; cAG 0.728, PIM2 0.779, PIM3 0.822, and PRISM III 0.808. The corporation of cAG to pre-existing mortality prediction models was significantly more accurate at predicting mortality than using any of these models alone. We concluded that cAG at ICU admission may be used to predict mortality in children, regardless of underlying etiology. And the incorporation of cAG to pre-existing mortality prediction models might improve predictability. |
url |
https://doi.org/10.1038/s41598-017-01681-9 |
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