Evidence Based Medicine on Acute Pediatric Illness Scoring Systems and Predictors of Mortality

Abstract

Evidence based medicine (EBM) is conscious, specific, reasonable use of modern, best evidences in making decisions about treatment of individual patients. Its real purpose is that by the use of the best possible evidence doctor chooses for his patient the best possible solution, wanting to provide to him the optimum health care in every aspect. It is also used to avoid major mistakes in the course of treatment, and by this raises the quality of provided health care to the patient. In a wider context, it can save the lives of our patients. The main purpose of the pediatric intensive care unit (PICU) is to prevent mortality by intensively monitoring and treating critically ill children who are considered at high risk of mortality. The capability to estimate patient risk of death is extremely important because such estimate would be useful in achieving many different goals such as assessing patient’s prognosis, ICU performance, ICU resource utilization and also evaluating therapies, controlling and matching severity of illness in clinical studies. The lack of consistency, reliability, and accu