Table 4:
Patient Outcomes
| Outcome Measure | Day 1 MODS Absent | Day 1 MODS Present | P-valuec | |||
|---|---|---|---|---|---|---|
| NPMODS Absent N=183 | NPMODS Present N=57 | NPMODS Absent N=236 | NPMODS Present N=91 | All Groupsd | NPMODS absent vs. presente | |
| PICU mortality | 18 (10) | 16 (28) | 62 (26) | 43 (47) | <0.001 | <0.001 |
| Hospital mortality | 19 (10) | 16 (28) | 64 (27) | 46 (51) | <0.001 | <0.001 |
| PICU LOS, median (IQR) | 10 (4–23) | 15 (10–33) | 18 (9–43) | 19 (10–39) | <0.001 | 0.01 |
| Hospital LOS, median (IQR) | 20 (10–38) | 30 (17–53) | 34 (15–71) | 30 (17–62) | 0.001 | 0.10 |
| Vasoactive-free days, median (IQR) | 28 (26–28) | 23 (9–27) | 21 (6–25) | 17 (0–23) | <0.001 | <0.001 |
| Ventilator-free days, median (IQR) | 26 (16–28) | 10 (0–22) | 12 (0–22) | 6 (0–17) | <0.001 | <0.001 |
| At least mild disabilitya | 29 (18) | 21 (51) | 53 (31) | 13 (29) | <0.001 | 0.005 |
| At least moderate disabilityb | 18 (11) | 12 (29) | 33 (19) | 10 (22) | 0.02 | 0.02 |
Data presented as n (%) unless noted. P-values represent comparisons using Kruskal-Wallis for continuous and Fisher’s exact or chi-squared tests for categorical variables.
IQR, interquartile range; PICU, pediatric intensive care unit; LOS, length of stay; NPMODS, new or progressive multiple organ dysfunction syndrome
Any increase in Pediatric Overall Performance Category (POPC) from baseline to hospital discharge in the 422 hospital survivors.
Discharge Pediatric Overall Performance Category ≥3 and an increase of ≥1 from baseline in the 312 hospital survivors.
Statistical significance defined as p<0.006 after Bonferroni correction for multiple comparisons.
Statistical comparison across all four groups using Kruskal-Wallis test for continuous variables and Fisher’s exact or chi-squared tests for categorical variables
Statistical comparison between patients with NPMODS absent versus present (irrespective of day 1 MODS presence) using Wilcoxon rank sum for continuous variables and Fisher’s exact or chi-squared tests for categorical variables