PELOD Score

(Pediatric Logistic Organ Dysfunction)

Cardiovascular

Neurologic

Hepatic

HR

Systolic Blood Pressure (mmHg)

Glasgow (help)

Pupillary reactions

SGOT

Prothrombin Time or INR

Pulmonary

Hematologic

Pulmonary score

Cardiovascular score

Hepatic score

Neurologic score

Renal score

Hematologic score

PELOD Score (help)

Predicted death rate

PaO2 /FiO2

PaCO2

Mechanical Ventilation

WBC

Platelets

Renal

Creatinine

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

Web Page: Jean-Yves Marandon
Dept. of Anesthesia. FOCH Hospital (92 Suresnes- France)

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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.

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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