La escala pediátrica de evaluación del fallo multiorgánico secuencial (pSOFA): una nueva escala de predicción de la mortalidad en la unidad de cuidados intensivos pediátricos

El-Mashad, Ghada M; El-Mekkawy, Muhammad Said; Zayan, Mohamed Helmy

doi:10.1016/j.anpedi.2019.05.018

Cited by 18 publications

(9 citation statements)

References 25 publications

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“…The pSOFA score predicts the severity and prognosis of sepsis in children more accurately than pediatric risk score of mortality and pediatric critical illness score ( 12 – 15 ) and can also be used to predict the outcome of the general PICU population. Furthermore, it is more accurate than systemic inflammatory response syndrome (SIRS) in defining pediatric sepsis ( 16 ) and can better predict the new incidence rate or mortality rate of critically ill children within 3 years ( 17 ). Matics et al found that the best threshold of pSOFA for differentiating mortality rate was >8 ( 9 ).…”

Section: Discussionmentioning

confidence: 99%

The Correlation Between Mechanical Ventilation Duration, Pediatric Sequential Organ Failure Assessment Score, and Blood Lactate Level in Children in Pediatric Intensive Care

Hua

2022

Front. Pediatr.

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ObjectiveThis study aimed to investigate whether the ventilation duration for children undergoing invasive mechanical ventilation (IMV) in pediatric intensive care unit (PICU) is correlated with pediatric sequential organ failure (pSOFA) score, white blood cell (WBC) count, blood lactate level, and duration of fever.MethodsRetrospectively reviewed that the medical records of patients who received IMV in the PICU of Jingzhou Central Hospital between January 2018 and December 2020. According to the duration of IMV in diagnosis-related groups, these patients were divided into two groups: group A, ventilation duration <96 h, and group B, ventilation duration ≥96 h. Each group's pSOFA scores, WBC counts, blood lactate levels, and durations of fever were compared. Logistic regression analysis was used to analyze the clinical risk factors of ventilation duration ≥96 h, and the receiver operator characteristic (ROC) curve was drawn.ResultsA total of 42 patients were included, including 23 in group A and 19 in group B. The difference in pSOFA score between group A and group B was statistically significant (P < 0.05), while the differences in blood lactate level, duration of fever, and WBC count between the two groups were not statistically significant (P > 0.05). Logistic regression analysis was conducted to analyze the influencing factors of mechanical ventilation duration ≥96 h. An ROC curve was drawn with pSOFA score as a test variable and duration of mechanical ventilation ≥96 h as a state variable, revealing that the area under the curve was 0.76 (SE = 0.075, 95% CI: 0.614–0.906, P = 0.005). The sensitivity and specificity were 68.4 and 73.9%, respectively, and the corresponding pSOFA score was 7.5.ConclusionWhen the pSOFA score ≥8, the risk of mechanical ventilation duration ≥96 h increases.

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Section: Discussionmentioning

confidence: 99%

The Correlation Between Mechanical Ventilation Duration, Pediatric Sequential Organ Failure Assessment Score, and Blood Lactate Level in Children in Pediatric Intensive Care

Hua

2022

Front. Pediatr.

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“…En el 2016, la Campaña de Sobrevivir a la Sepsis no especifica las definiciones para población pediátrica y desaparece el concepto de sepsis grave 6,7,11,12 . En 2020, la Campaña de Sobrevivir a la Sepsis reconoce la falta de definiciones específicas de sepsis y shock séptico en Pediatría, pero mantiene la definición de sepsis asociada a fallo orgánico y shock séptico asociado a insuficiencia circulatoria aguda 6,7,13 .…”

Section: Definiciones En Pediatríaunclassified

“…La escala qSOFA demostró mejores resultados como predictor de mortalidad si supera los 8 puntos 4 . Siendo considerado que la puntuación para diferenciar entre supervivientes y no supervivientes se estable en puntación de 7 13 .…”

Section: Diagnósticounclassified

“…En otro estudio se evidenció que la predicción de mortalidad general de la UCIP fue superior tras utilizar la escala SOFA en comparación con la escala PRISM e índice PIM2, lo cual se contrasta con un estudio pediátrico donde se evidencio que los resultados eran similares si se empleada la escala SOFA y la escala PRISM-III 13 .…”

Section: Diagnósticounclassified

“…Otro estudio comparó la escala SOFA y los criterios del SRIS, donde evidencio el uso de SOFA con OR de 13,73 para el diagnóstico de sepsis con una puntuación de 7 puntos como predictor de mortalidad, mientras que solo empleando los criterios SRIS el riesgo disminuyo a OR 4,46, siendo implícito que la escala SOFA es superior al SRIS 13 .…”

Section: Diagnósticounclassified

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Manejo De Sepsis Y Shock Séptico en Pediatría

Crespo¹,

Puente²,

Flores³

et al. 2023

Infectología Clínica

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El reconocimiento temprano de un cuadro séptico debe ser uno de los principales objetivos en el momento de la atención de un paciente pediátrico, la instauración del tratamiento temprano representa la oportunidad para obtener una mayor posibilidad de supervivencia. Aunque aún existen pocos estudios en el manejo específico en la población infantil, la detección e intervención debe adaptarse a la edad, la gravedad y en el presunto origen infeccioso siendo individualizado el tratamiento. La siguiente revisión permite profundizar en los conocimientos básicos sobre la sepsis y el shock séptico en pediatría con la finalidad de promover una detección temprana y así destacar las medidas efectivas para un adecuado manejo.

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Sequential Organ Failure Score with Bedside Echocardiography in Predicting the Clinical Outcome of Critically-Ill Children

Anuhya,

Mahapatra,

Biswal

et al. 2023

Indian J Pediatr

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La escala pediátrica de evaluación del fallo multiorgánico secuencial (pSOFA): una nueva escala de predicción de la mortalidad en la unidad de cuidados intensivos pediátricos

Cited by 18 publications

References 25 publications

The Correlation Between Mechanical Ventilation Duration, Pediatric Sequential Organ Failure Assessment Score, and Blood Lactate Level in Children in Pediatric Intensive Care

The Correlation Between Mechanical Ventilation Duration, Pediatric Sequential Organ Failure Assessment Score, and Blood Lactate Level in Children in Pediatric Intensive Care

Manejo De Sepsis Y Shock Séptico en Pediatría

Sequential Organ Failure Score with Bedside Echocardiography in Predicting the Clinical Outcome of Critically-Ill Children

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