SOFA (Sequential Organ Failure Assessment) and PELOD (Pediatric Logistic Organ Dysfunction)
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2015, Vol 3, Issue 4
Abstract
Abstract: To compare SOFA and PELOD scoring systems as a mortality predictor at pediatric intensive care unit. To compare initial SOFA, 72 hours SOFA and delta SOFA score as a mortality predictor. A Prospective, Hospital based study. Pediatric Intensive Care Unit, G.R. Medical College, Gwalior Critically ill children admitted to Pediatric Intensive Care Unit. After recruitment in the study, patients were followed until they were discharged from PICU or deceased .The PELOD score and SOFA score was calculated for the subjects during the first 24 hours of admission in PICU. SOFA score was calculated again at 72 hours, and the delta SOFA score calculated as the difference between initial SOFA and 72 hours SOFA score. The mean sofa at 72 hours(T72) was 15.63±2.989 in non-survivors vs. 4.30±2.54 in survivors, T72 was significantly higher in non-survivors (p<0.001). The mean PELOD score was 30.44±8.145 in non-survivors vs 13.90±5.757 in survivors. The mean PELOD score was also significantly higher in non-survivor group (p<0.001). The mean length of stay was considerably higher in patients who survived as compared to those who expired (8.8 + 4.7 days vs 4.6 + 2.4 days; p< 0.001).Negative and positive predictive value of SOFA at 72 hours were comparable to PELOD score while were less for Initial SOFA and Delta SOFA score .Delta SOFA correlated well with hospital stay in survivors and non survivors compared through Pearson Coefficient correlation SOFA at 72 hours is a better predictor of mortality as compared to initial SOFA and Delta SOFA score. Also SOFA score at 72 hours is comparable to PELOD Score and can be used as a reliable predictor of mortality in children. Keywords: SOFA score ,PELOD score , prognosis, PICU.
Authors and Affiliations
Dr. Priya Gogia, Sunita Koreti, , G. S. Patel
Keywords
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