99 PELOD-2: An Update of the Pediatric Logistic Organ Dysfunction Score

Leteurtre, Stéphane; Duhamel, Alain; Salleron, Julia; Grandbastien, Bruno; Lacroix, Jacques; Leclerc, Francis

doi:10.1136/archdischild-2012-302724.0099

Cited by 174 publications

(297 citation statements)

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“…The relationship between mortality and number of dysfunctioning organs is stronger than that with presence or absence of MOF [26,27]. We observed that there was a significant difference in PELOD score between early and delayed extubation groups.…”

Section: Discussionmentioning

confidence: 71%

Predictors of Early Extubation After Pediatric Cardiac Surgery: A Single-Center Prospective Observational Study

et al. 2016

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This prospective, observational, single-center study aimed to determine the perioperative predictors of early extubation (<24 h after cardiac surgery) in a cohort of children undergoing cardiac surgery. Children aged between 1 month and 18 years who were consecutively admitted to pediatric intensive care unit after cardiac surgery for congenital heart disease between January 2012 and June 2014. Ninety-nine patients were qualified for inclusion during the study period. The median duration of mechanical ventilation was 20 h (range 1-480), and 64 patients were extubated within 24 h. Four of them failed the initial attempt at extubation, and the success rate of early extubation was 60.6 %. Older patient age (p = .009), greater body weight (p = .009), absence of preoperative pulmonary hypertension (p = .044), lower RACHS-1 category (OR, 3.8; 95 % CI 1.35-10.7; p < .05), shorter cardiopulmonary bypass (p = .008) and cross-clamp (p = .022) times, lower PRISM III-24 (p < .05) and PELOD (p < .05) scores, lower inotropic score (p < .05) and vasoactive-inotropic score (p < .05), and lower number of organ failures (OR, 2.26; 95 % CI 1.30-3.92; p < .05) were associated with early extubation. Our study establishes that early extubation can be accomplished within the first 24 h after surgery in low- to medium-risk pediatric cardiac surgery patients, especially in older ones undergoing low-complexity procedures. A large prospective multiple institution trial is necessary to identify the predictors and benefits of early extubation and to facilitate defined guidelines for early extubation.

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Section: Discussionmentioning

confidence: 71%

Predictors of Early Extubation After Pediatric Cardiac Surgery: A Single-Center Prospective Observational Study

et al. 2016

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“…Ratings from 1 to 4 were defined for the variables (ie, “indispensable”, “optional”, “useless”, and “no rating”), for the items and the subitems (“relevant”, “of little relevance”, “not relevant”, and “no rating”). The scores proposed by the 5 databases were the mortality scores (PRISM III and PIM3), the organ dysfunction scores (PELOD2), and the disability scores 2Delphi method …”

Section: Methodsmentioning

confidence: 99%

Enhance quality care performance: Determination of the variables for establishing a common database in French paediatric critical care units

Recher

Bertrac²,

Guillot³

et al. 2018

Evaluation Clinical Practice

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Selected variables for the French Paediatric Intensive Care registry.Rationale, aims, and objectivesProviding quality care requires follow‐up in regard to clinical and economic activities. Over the past decade, medical databases and patient registries have expanded considerably, particularly in paediatric critical care medicine (eg, the Paediatric Intensive Care Audit Network (PICANet) in the UK, the Australian and New Zealand Paediatric Intensive Care (ANZPIC) Registry in Australia and New Zealand, and the Virtual Paediatric Intensive Care Unit Performance System (VPS) in the USA). Such a registry is not yet available in France. The aim of this study was to determine variables that ought to be included in a French paediatric critical care registry.MethodsVariables, items, and subitems from 3 foreign registries and 2 French local databases were used. Items described each variable, and subitems described items. The Delphi method was used to evaluate and rate 65 variables, 90 items, and 17 subitems taking into account importance or relevance based on input from 28 French physicians affiliated with the French Paediatric Critical Care Group. Two ratings were used between January and May 2013.ResultsFifteen files from 10 paediatric intensive care units were included. Out of 65 potential variables, 48 (74%) were considered to be indispensable, 16 (25%) were considered to be optional, and 1 (2%) was considered to be irrelevant. Out of 90 potential items, 62 (69%) were considered to be relevant, 23 (26%) were considered to be of little relevance, and 5 (6%) were considered to be irrelevant. Out of 17 potential subitems, 9 (53%) were considered to be relevant, 6 (35%) were considered to be of little relevance, and 2 (12%) were considered to be irrelevant.ConclusionsThe necessary variables that ought to be included in a French paediatric critical care registry were identified. The challenge now is to develop the French registry for paediatric intensive care units.

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“…The PELOD2 scores for the paediatric ICU and neonatal ICU populations indicated low to moderate levels of organ dysfunction. 28 The APACHE II score for the adult ICU population indicated a moderate level of dependency and risk of mortality. 29 …”

Section: Samplementioning

confidence: 99%

‘True Blood’ The Critical Care Story: An audit of blood sampling practice across three adult, paediatric and neonatal intensive care settings

Ullman

Keogh

Coyer

et al. 2016

Australian Critical Care

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99 PELOD-2: An Update of the Pediatric Logistic Organ Dysfunction Score

Cited by 174 publications

References 0 publications

Predictors of Early Extubation After Pediatric Cardiac Surgery: A Single-Center Prospective Observational Study

Predictors of Early Extubation After Pediatric Cardiac Surgery: A Single-Center Prospective Observational Study

Enhance quality care performance: Determination of the variables for establishing a common database in French paediatric critical care units

‘True Blood’ The Critical Care Story: An audit of blood sampling practice across three adult, paediatric and neonatal intensive care settings

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