Pediatric Sepsis Score of Schlapbach et al

Description

Schlapbach et al developed a score for evaluating a pediatric patient with sepsis who are admitted to the intensive care unit. The authors are from University of Queensland and the Australian & New Zealand Intensive Care Society (ANZICS) Paediatric Study Group.

Patient selection: sepsis and age < 16 years

Outcome: 30-day mortality

Parameters:

(1) PaO2 to FIO2 ratio

(2) ventilation during the first hour in the ICU

(3) cardiac arrest prior to admission

(4) blood lactate in mmol/L

(5) pupils

(6) systolic blood pressure by age and gender (below the 5th percentile)

Parameter	Finding	Points
PaO2 to FIO2 ratio	>= 300	0
	100 to 299.99	3
	< 100	5
ventilation	no	0
	yes	3
cardiac arrest	no	0
	yes	5
lactate	< 3.0	0
	3.0 to 5.99	3
	6.00 to 9.99	5
	>= 10	10
pupils	both reactive	0
	both fixed and dilated	10

The systolic blood pressure is scored 3 points if below the 5th percentile for age and gender.

Age	Male	Female
< 12 months	< 65	< 65
1 to 1.99 years	< 67	< 68
2 to 2.99 years	< 70	< 71
3 to 3.99 years	< 73	< 71
4 to 4.99 years	< 75	<74
5 to 5.99 years	< 78	< 76
6 to 6.99 years	< 78	< 78
7 to 7.99 years	<79	< 78
8 to 8.99 years	< 82	< 81
9 to 9.99 years	< 82	< 83
10 to 10.99 years	< 85	< 85
11 to 11.99 years	< 87	< 85
12 to 12.99 years	< 89	< 87
13 to 13.99 years	< 90	< 90
14 to 14.99 years	< 94	< 92
15 to 15.99 years	< 95	< 93

total score =

= SUM(points for all 6 parameters)

Interpretation:

• minimum score: 0

• maximum score: 36

• The higher the score the greater the 30-day mortality.

Total Score	30 Day Mortality (all)
0 to 2	1.3%
3 to 5	5%
6 to 8	8%
9 to 11	23%
>= 12	48%

Performance:

• The area under the ROC curve was 0.82.

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Pediatric Sepsis Score of Schlapbach et al

Description

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