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Association between vasoactive-inotropic score and mortality in pediatric septic shock. OBJECTIVE: To assess the association between Vasoactive Inotrope Score (vis) and mortality in children with fluid-refractory septic shock. METHODS: A retrospective chart review of 71 children (age 1 mo-16y) admitted with fluid-refractory septic shock in pediatric intensive care unit during a two year period was done. We divided our cohort into two groups viz High vasoactive inotrope score (Group-H) and Low-vasoactive inotrope score (Group-L) based on a cut-off value of 20. RESULTS: 73% of the children were in Group-L. The mortality rate was 44% and 100% in Group L and Group H, respectively. CONCLUSIONS: High inotropic score in children with septic shock is associated with high mortality rate.