Leclerc et al used a "quick" PELOD-2 score ot evaluate pediatric patients with suspected infection. The authors are from Groupe Francophone de Reanimation et Urgences Pediatriques (GFRUP).
Patient selection: pediatric patient with suspected infection or septic shock admitted to the PICU
The patient is evaluated for altered mentation, hypotension and tachycardia.
Parameters on Day 1 in the pediatric ICU:
(1) Glasgow coma score (GCS), from 3 to 15
(2) hypotension based on systolic blood pressure in mm Hg, mean blood pressure in mm Hg, and age in months
(3) heart rate in beats per minute for age in years
|
Parameter |
Finding |
Points |
|
Glasgow coma score |
11 to 15 |
0 |
|
|
3 to 10 |
1 |
|
heart rate |
<= 195 and age < 12 years |
0 |
|
|
> 195 and age < 12 years |
1 |
|
|
<= 150 and age >= 12 years |
0 |
|
|
> 150 and age >= 12 years |
1 |
|
Age in Months |
Systolic Blood Pressure |
Points |
|
< 1 months |
>= 65 |
0 |
|
< 1 month |
< 65 |
1 |
|
1 to 11 months |
>= 75 |
0 |
|
1 to 11 months |
< 75 |
1 |
|
12 to 143 months |
>= 85 |
0 |
|
12 to 143 moths |
< 85 |
1 |
|
>= 144 months |
>= 95 |
0 |
|
>= 144 months |
< 95 |
1 |
Alternatively the mean blood pressure can be used instead of systolic blood pressure.
|
Age in Months |
Mean Blood Pressure |
Points |
|
< 1 months |
>= 46 |
0 |
|
< 1 month |
< 46 |
1 |
|
1 to 11 months |
>= 55 |
0 |
|
1 to 11 months |
< 55 |
1 |
|
12 to 23 months |
>= 60 |
0 |
|
12 to 23 moths |
< 60 |
1 |
|
24 to 59 months |
>= 62 |
0 |
|
24 to 59 months |
< 62 |
1 |
|
60 to 143 months |
>= 65 |
0 |
|
60 to 143 months |
< 65 |
1 |
|
>= 144 months |
>= 67 |
0 |
|
>= 144 months |
< 67 |
1 |
total score =
= SUM(points for all 3 parameters)
Interpretation:
• minimum score: 0
• maximum score: 3
• The higher the score the greater the mortality for pediatric patients with suspected infection.
Specialty: Critical Care, Emergency Medicine, Pedatrics
