• Eur. J. Pediatr. · Jul 2017

    Comparative Study Observational Study

    Performance of the pediatric logistic organ dysfunction (PELOD) and (PELOD-2) scores in a pediatric intensive care unit of a developing country.

    • Ahmed El-Nawawy, Aly Abdel Mohsen, Manal Abdel-Malik, and Sarah Omar Taman.
    • Department of Pediatrics, Alexandria University, Faculty of Medicine, El-Shatby Hospital Alexandria, Alexandria, Egypt.
    • Eur. J. Pediatr. 2017 Jul 1; 176 (7): 849-855.

    AbstractThe study aimed to compare two scores: the pediatric logistic organ dysfunction (PELOD) with its updated version (PELOD-2) in describing the severity of organ dysfunction in pediatric intensive care unit (PICU) and assess the performance of PELOD-2 in the Egyptian population. A prospective cohort study of 200 patients consecutively admitted to PICU between July 2015 and A 2016 was included. The median age was 6 months, and the male to female ratio was 1.04. The median length of PICU stay was 4 days. The overall predicted number of deaths using PELOD was 76 patients whereas, by PELOD-2, it was 50 patients. The observed mortality was 50 patients. The area under the receiving operating characteristic curve was excellent for both PELOD and PELOD-2 (0.93 and 0.91, respectively). The Hosmer and Lemeshow goodness-of-fit test showed good calibration of PELOD-2 (χ 2 = 9.9, p = 0.27), while PELOD showed poor calibration (χ 2 = 42, p = 0.000) in the same studied group.

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