A Vasoactive Inotropic Score Predicts the Severity of Hypotensive Shock and Mortality in Preterm Infants

Abstract Objective: To validate the prediction of the severity of hypotensive shock and mortality using the vasoactive inotropic score in preterm infants.Methods: In this retrospective study we calculated the vasoactive inotropic score (VIS) and cumulative exposure to cardiovascular medications over time (VISct) in a cohort of preterm infants with hypotensive shock who received a cardiovascular support. Receiver operator curve was constructed to predict the primary outcome which was death due to hypotensive shock. Results: VIS had an area under the curve of 0.73 (95% CI 0.85-0.98, p < 0.001). A VIS cut off of 25 has sensitivity and specificity of 66% and 92%, and positive and negative predictive values of 78.5% and 83%, respectively.Conclusion: High VIS predicts high mortality rate due to irreversible shock in preterm infants