Table 1.
MODS (Proulx)a | MODS (Goldstein)b | All patientsc | |
---|---|---|---|
N = 180 | N = 314 | N = 842 | |
Demographic data | |||
Male | 98 (54.5) | 168 (53.5) | 434 (51.5) |
Age (months) | 60 ± 72 | 64 ± 70 | 72 ± 72 |
Severity of illness at PICU entry | |||
PRISM score | 11.4 ± 7.8 | 9.2 ± 7.1 | 6.0 ± 5.8 |
Daily PELOD score | 10.3 ± 9.4 | 8.1 ± 8.4 | 4.8 ± 6.8 |
Main cause of admissiond | |||
Respiratory disease | 76 (42.2) | 146 (46.8) | 298 (36.4) |
Shock | |||
Hypovolemic shock | 10 (5.6) | 10 (3.2) | 19 (2.5) |
Septic shock | 17 (9.6) | 19 (6.1) | 27 (3.2) |
Haemorrhagic shock | 4 (2.5) | 5 (1.6) | 5 (1.6) |
Cardiogenic shock | 13 (7.5) | 13 (4.2) | 15 (1.8) |
Congenital heart disease | 29 (16.3) | 39 (12.6) | 77 (9.2) |
Bacterial infection | 70 (39.1) | 125 (39.9) | 237 (28.2) |
Viral infection | 46 (25.8) | 97 (31.1) | 203 (24.2) |
Trauma | |||
Polytraumatism | 4 (2.2) | 11 (3.5) | 18 (2.4) |
Severe head trauma | 6 (3.3) | 10 (3.1) | 11 (1.3) |
Burn | 2 (1.1) | 2 (0.6) | 5 (0.6) |
Surgery | |||
Post-cardiac surgery | 22 (12.3) | 38 (12.1) | 105 (12.5) |
Other surgery (planned) | 17 (9.5) | 33 (10.5) | 146 (17.4) |
Other surgery (unplanned) | 14 (7.8) | 24 (7.7) | 63 (7.5) |
Other reasons for admission | 91 (50.6) | 145 (46.2) | 368 (43.8) |
Specific treatment during PICU stay | |||
ECMO | 7 (3.9) | 7 (2.3) | 7 (0.8) |
Haemofiltration | 6 (3.3) | 7 (2.3) | 7 (0.8) |
Haemodialysis | 10 (5.5) | 9 (2.9) | 15 (1.5) |
At least 1 red cell transfusion | 91 (50.6) | 101 (32.2) | 142 (16.9) |
Number (%) or mean ± SD
ECMO extracorporeal membrane oxygenation, MODS multiple organ dysfunction syndrome, PELOD paediatric logistic organ dysfunction, PICU paediatric intensive care unit, PRISM paediatric risk of mortality
aMODS (Proulx): cases of MODS diagnosed during PICU stay, using diagnostic criteria advocated by Proulx in 1996 [4]
bMODS (Goldstein): cases of MODS diagnosed during PICU stay, using diagnostic criteria advocated by Goldstein in 2005 [5, 6]
cInclude patients with and without MODS
dThere were many causes of admission in some patients