Menu
Disease
A-Z
Health Topics
Alternative Medicine
Developmental Pediatrics
General Pediatrics
Genetics
Immunodeficiencies
Infectious Diseases
Laboratory Medicine
Neonatology
Nutrition
Pediatric Cardiology
View all Topics
Featured Articles
Cushing's syndrome
Anaphylaxis
Anal itching
Hypospadias
Diabetic ketoacidosis
Skin allergies
Kids Corner
Health and Knowledge with fun.
Drugs &
Calculators
Medical Calculators
Drug Calculators
Growth Calculators
Renal Calculators
View all Calcualtors
Drug Index
ACE inhibitor
Alkylating agents
Allergies
View all Drugs
Poisoning Center
Aluminum phosphide
Anti-histaminics
Antidepressants
View all Drugs
Medical Eqipments
Monitors
Pumps
Incubators
View all Equipments
Diagnostic Aid
Get your diffrential
diagnosis.
Consult
& Posts
Ask a Doctor
Diagnostic Dilemma
Question of the Week
Pediatric Blogs
Spot Diagnosis
Grand Rounds
Pedi Poll
Pediatric
Journal
Current Issue
All Issues
Advance Access
About the Journal
Submit Article
Books
& Apps
Book Store
Pediatric Oncall
Medical Calculators
Vaccine Reminder
Pediatric Oncall Journal
Drug Center
Parenting
CME &
Videos
Upcoming Conferences
Conference Abstracts
MCQs
Videos
Vaccine
Reminder
Sign In
Pediatric Oncall Journal
Home
Articles & Issues
Current Issue
All Issues
Advance Access
About
Pediatric Oncall Journal
Editorial Board
Peer Review Policy
Other Policies
Copyrights
Privacy Statement
Contribute
Open Access Statement
Authorship & Acknowledgment
Author Guidelines
Forms
Submit Manuscript
PREDICTING MORTALITY IN PEDIATRIC INTENSIVE CARE UNIT USING PEDIATRIC LOGISTIC ORGAN DYSFUNCTION SCORE IN A TERTIARY CARE CENTRE
Abstract
Full Text
PDF
Volume
10
, Issue
1
January-March 2013
Pages: 11-13
DOI:
https://doi.org/10.7199/ped.oncall.2013.19
CITE THIS ARTICLE
CS J, BM S k, Karumbaiah P, Rau A. PREDICTING MORTALITY IN PEDIATRIC INTENSIVE CARE UNIT USING PEDIATRIC LOGISTIC ORGAN DYSFUNCTION SCORE IN A TERTIARY CARE CENTRE. Pediatr Oncall J. 2013;10: 11-13. doi: 10.7199/ped.oncall.2013.19
Journal Subscription
Pediatric Oncall Journal
Subscribe Now
ORIGINAL ARTICLE
PREDICTING MORTALITY IN PEDIATRIC INTENSIVE CARE UNIT USING PEDIATRIC LOGISTIC ORGAN DYSFUNCTION SCORE IN A TERTIARY CARE CENTRE
Jyotirmanju CS, Sunil kumar BM, Prarthana Karumbaiah, ATK Rau.
Department of Pediatrics, M S Ramaiah Medical College, Bangalore, India.
Show affiliations
Abstract
Aim:
To predict mortality rate in children with multiple organ dysfunction (MODS) admitted to Pediatric Intensive Care Unit (PICU), using an externally validated score pediatric logistic organ dysfunction score (PELOD).
Design and Setting:
Longitudinal observational study in a tertiary care medical college centre.
Methods:
The study was conducted in 328 children (177 boys and 151 girls) in the age group of 1month to 14yrs admitted in the PICU. Data on the variables of PLEOD score, such as pulse rate, blood pressure, Glasgow coma scale (GCS), pupils were recorded on day 1. Hematological investigations [total count, platelet count, prothrombin time (PT), partial thromboplastin time (APTT), creatinine, ALT, and arterial blood gases) were done by standard laboratory techniques. Patients were followed up during the hospital stay and the outcome measures were recorded as died or survived at the end of the hospital stay. To calculate the PELOD score, each organ system received points for the single variable associated with the most points. The maximum number of points for an organ system is 4, and the maximum possible PLEOD score is 28.
Results:
Overall mortality rate was 40 (12.2%). The odds ratio for mortality for four and more than four organ dysfunction was found to be 265.57 as compared to less than four organ dysfunction (p=0.001). The odds ratio for mortality with PELOD score of >20 was 3.5 (95% CI 1.54 to 8.01) as compared to the score less than 20. The differences in the mortality of the children whose score was less than 20 compared to more than 20 [30 (10.2%) vs 10 (28.6%)] was found to be statistically significant (p=0.002).
Conclusion:
Mortality rate and the PELOD score increased with the number of organ dysfunction. PELOD score is definitely a good predictor of mortality, but it underscores morbidity.
READ FULL TEXT
This work is licensed under a
Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License
Disclaimer: The information given by www.pediatriconcall.com is provided by medical and paramedical & Health providers voluntarily for display & is meant only for informational purpose. The site does not guarantee the accuracy or authenticity of the information. Use of any information is solely at the user's own risk. The appearance of advertisement or product information in the various section in the website does not constitute an endorsement or approval by Pediatric Oncall of the quality or value of the said product or of claims made by its manufacturer.
X
Sign In
Disease A-Z
Health Topics
Alternative Medicine
Developmental Pediatrics
General Pediatrics
Genetics
Immunodeficiencies
Infectious Diseases
Laboratory Medicine
Neonatology
Nutrition
Pediatric Cardiology
View all topics
Featured Articles
Cushing's syndrome
Anaphylaxis
Anal itching
Hypospadias
Diabetic ketoacidosis
Skin allergies
Kids Corner
Drugs & Calculators
Medical Calculators
Drug Calculators
Growth Calculators
Renal Calculators
View all Calculators
Drug Index
ACE inhibitor
Alkylating agents
Allergies
View all Drugs
Poisoning Center
Aluminum phosphide
Anti-histaminics
Antidepressants
View all Drugs
Medical Eqipments
Monitors
Pumps
Incubators
View all Eqipments
Diagnostic Aid
Consult & Posts
Ask a Doctor
Diagnostic Dilemma
Question of the Week
Pediatric Blogs
Spot Diagnosis
Grand Rounds
Pedi Poll
Pediatric Oncall Journal
Current Issue
All Issues
Advance Access
About the Journal
Submit Article
Books & Apps
Book Store
Pediatric Oncall
Medical Calculators
Vaccine Reminder
Pediatric Oncall Journal
Drug Center
Parenting
CME & Videos
Upcoming Conferences
Conference Abstracts
MCQs
Videos
Vaccine Reminder
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0