Predictive Value of Toprs Score in Outcome of Pediatric Patient in Emergency Installation

Abstract

Background: Scoring of severity of illness in pediatric emergency is rarely found. The aim of this study was to evaluate TOPRS Scores of children admitted to pediatric emergency. Method: It was a prospective cohort study on severity illness score on pediatric patient in emergency instalation of Wahidin Sudirohusodo Hospital during October until November 2016. The study population was all children admitted to pediatric emergency unit Wahidin Sudirohusodo Hospital. TOPRS scores were assessed since admission. Subjects were followed up two classified the outcome into two groups, improved group and died group Predictive ability of this scorring system was analyzed using ROC curve. Results: Among 218 subjects, 46 were died, and 172 were recovered. TOPRS scores were higher in non survivor group, with the optimal cut off value ?2 to distinguish survivor and died group. P=0.000, sensitivity=100%, specificity=89.5%, PPV=100%, and NPV=74%. Multivariate analysis showed that TOPRS scoring system was independent variable and can be used as a parameter to evaluate the aoutcome of the patients, with p value 0.000 (95% CI 0.00-). Conclusion: TOPRS scoring system has a predictive value on children admitted to pediatric emergency instalation. Optimal cut off value to distinguish mortality is ?2.