The use of pediatric logistic organ dysfunction (PELOD) scoring system to determine the prognosis of patients in pediatric intensive care units
| Autor: | Dadang Hudaya S, Dewi Metta, Dedi Soebardja |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Validation study
Pediatrics medicine.medical_specialty Scoring system PICU business.industry lcsh:R Organ dysfunction lcsh:RJ1-570 lcsh:Medicine lcsh:Pediatrics Logistic regression Intensive care unit law.invention law Intensive care Pediatrics Perinatology and Child Health Emergency medicine medicine PELOD score prognosis medicine.symptom General hospital business |
| Zdroj: | Paediatrica Indonesiana, Vol 46, Iss 1, Pp 1-6 (2016) |
| ISSN: | 2338-476X 0030-9311 |
| Popis: | Background Prediction of outcome of patients admitted to pediat- ric intensive care unit (PICU) requires an objective tool for measure- ment. It is important to provide information for the patient’s family and to explain the objectives of intensive care. Objective To evaluate whether the Pediatric Logistic Organ Dys- function (PELOD) scoring system can be used to determine the prog- nosis of patients treated in PICU. Methods A longitudinal-observational study on patients treated in the PICU of Hasan Sadikin General Hospital was conducted in No- vember 2004-December 2004. The PELOD scoring system was applied to all subjects within the first 24 hours of PICU admission. The scoring system consists of physical and laboratory variables of 6 organs, namely neurological, cardiovascular, renal, respiratory, hematological, and hepatic systems. The sum of scores were ana- lyzed by logistic regression method to calculate the probability of death. The subjects were monitored until they passed away or were discharged from PICU. Results There were 32 subjects who met the inclusion criteria. The mean (SD) of PELOD scores in survivors was 13.5 (8.5) and in non survivors was 22.2 (10.1) (Z M-W =-2.507;P=0.012), while the mean of PELOD scores in survivors of PELOD scores validation study was 31.0, and in non survivors was 9.4. The increase of PELOD scores correlated with the increase in the probability of death (P=0.038), and a linear regression chart showed a positive correla- tion (R 2 =0.93). PELOD scores at a 50% probability of death was 20, while the mean PELOD scores validation study was 26. Based on the probability of death of P20) and those with low PELOD scores ( |
| Databáze: | OpenAIRE |
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