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Ressources et utilitaires

Scoring systems for ICU and surgical patients:

PELOD Score (Pediatric Logistic Organ Dysfunction) 

Cardiovascular	Neurologic	Hepatic
HR <12 years : < or = 195 < 12 years : > 195 ................... >= 12 years : < or= 150 >= 12 years : > 150 Systolic Blood Pressure (mmHg) <1 month : > 65 <1 month : 35 - 65 <1 month : < 35 ................... >1 month< 1 year : > 75 >1 month< 1 year : > 35 - 75 >1 month< 1 year : < 35 ................... >=1 year< 12 years : > 85 >=1 year< 12 years : 45 - 85 >=1 year< 12 years : < 45 ................... >=12 years : > 95 >=12 years : > 55 - 95 >=12 years :< 55	Glasgow (help) 12 - 15 7 - 11 4 - 6 3 Pupillary reactions both reactive both fixed	SGOT < 950 UI/ L > = 950 UI/L Prothrombin Time or INR PT> 60 % or INR<1.4 PT<= 60 % or INR>=1.4
Pulmonary	Hematologic	Pulmonary score Cardiovascular score Hepatic score Neurologic score Renal score Hematologic score PELOD Score (help) Predicted death rate
PaO2 /FiO2 PaO2 (mmHg) > 70 < = 70 ............. PaO2 ( kPa) > 9.31 < = 9.31 PaCO2 PaCO2 (mmHg) < = 90 > 90 ............. PaCO2 ( kPa ) < = 11.7 > 11.7 Mechanical Ventilation no Ventilation Ventilation	WBC ( * 10^9 / L) > = 4.5 1.5 - 4.4 < 1.5 Platelets ( * 10^9 / L) > = 35 < 35
Renal
Creatinine < 7 days : < 140 µmol/L (< 1.59 mg/dL ) < 7 days : >= 140 µmol/L ( >= 1.59 mg/dL ) ................... >=7 days<1 year : < 55 µmol/L (< 0.62 mg/dL ) >=7 days<1 year : >= 55 µmol/L ( >= 0.62 mg/dL ) ................... >=1 year<12 years : < 100 µmol/L (< 1.13 mg/dL ) >=1 year<12 years : >= 100 µmol/L (>= 1.13 mg/dL ) ................... >= 12 years : < 140 µmol/L (< 1.59 mg/dL ) >= 12 years : >= 140 µmol/L (>= 1.59 mg/dL )
Logit = -7.64 + 0.30*(PELOD ) . Predicted death rate = 1 / (1 + e-Logit)

References

• Leteurtre S. et al. Development of a pediatric multiple organ dysfunction score : use of two strategies. Med Decis Making 1999;19:399-410
• Leteurtre S. et al. Validation of the paediatric logistic organ dysfunction (PELOD) score: prospective, observational, multicentre study. Lancet. 2003 Jul 19;362(9379):192-7
• Leteurtre S. et al. Paediatric logistic organ dysfunction (PELOD) score. Lancet. 2006 Mar 18;367(9514):897; author reply 900-2

 

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When the variable is measured more than once in the 24 hours, the most severe value is used in calculating the score (measures at admission, possibly repeated each day)

PELOD score add the individuals Organ Dysfunction scores.

As exist logical operators (and / or), score for each organ is not the sum of each value.

Neurologic : Use the lowest value. If the patient is sedated, record the estimated GCS before sedation

Pulmonary : ABGs are recorded without reference to the mode of ventilation .

FIO2 : Fraction of inspired O2

Ventilation : The use of mask ventilation was not considered to be mechanical ventilation.

Eyes Open	Verbal	Motor
Spontaneous To speech To pain Absent	Converses / Oriented Converses / Disoriented Inapropriate Incomprehensible Absent	Obeys Localizes pain Withdraws (flexion) Decorticate (flexion) rigidity Decerebrate (extension) rigidity Absent

Glasgow=

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