illness severity

The PRISM (Pediatric Risk of Mortality) score is a validated severity-of-illness scoring system designed for pediatric patients (newborn to 18 years) in pediatric intensive care units (PICUs). Developed in 1988 and refined in subsequent iterations (PRISM III and PRISM IV), it quantifies disease severity and predicts hospital mortality risk based on physiological and laboratory data collected within the first 24 hours of PICU admission. PRISM is widely used to assess critically ill children, excluding premature neonates in neonatal ICUs (NICUs), where scores like CRIB II or SNAP-II are preferred.

The SNAP-II (Score for Neonatal Acute Physiology II) and SNAPPE-II (Score for Neonatal Acute Physiology with Perinatal Extension II) are severity-of-illness scoring systems designed for neonates in neonatal intensive care units (NICUs). Developed in 2001 as simplified updates to the original SNAP scores, they quantify illness severity and predict mortality risk in newborns, particularly preterm or critically ill infants. SNAP-II focuses on physiological parameters, while SNAPPE-II extends SNAP-II by incorporating perinatal factors. These scores are widely used for risk adjustment, outcome prediction, and quality assessment in NICUs.

The SAPS II (Simplified Acute Physiology Score II) is a severity-of-illness scoring system designed for adult patients (aged ≥18 years) in intensive care units (ICUs). Developed in 1993 from a large multicenter study involving 13,152 patients across 137 ICUs in 12 countries, SAPS II predicts hospital mortality risk based on physiological, demographic, and clinical data collected within the first 24 hours of ICU admission. It is widely used for risk stratification, quality benchmarking, and research in adult critical care settings.