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. 2021 Apr 23;11:679526. doi: 10.3389/fonc.2021.679526

Corrigendum: Perspective: A Framework to Screen Pediatric and Adolescent Hematopoietic Cellular Therapy Patients for Organ Dysfunction: Time for a Multi-Disciplinary and Longitudinal Approach

Ali H Ahmad 1, Kris M Mahadeo 2,*
PMCID: PMC8103829  PMID: 33968787

In the original article, there was a mistake in Table 2 . Possible Screening for pMODS for Pediatric and Adolescent-Young Adult (AYA) HCT Patients as published.

Table 2.

Possible Screening for pMODS for Pediatric and Adolescent-Young Adult (AYA) HCT Patientsab.

Score+ 0 1 2 3 4 5
Respiratory c
Oxygen support on the HCT floors
PaO2/FiO2 (P/F) ratio

SpO2/FiO2 (P/F) ratio

Room air

Blow-by oxygen and
≥400

≥292

Nasal Cannula or
300-399

264-291

NIV or
200-299

221-263

MV and/or
100-199 with respiratory support
148-220 with respiratory support

MV and/or
<100 with respiratory support
<148 with respiratory support
CV (MAP by age group, mmHg)d
< 1 month
1-11 months
12-23 months
24-59 months
60-143 months
144-215 months
>216 months
or Vasoactive infusion, μg/kg/min

≥ 46
≥ 55
≥ 60
≥ 62
≥ 65
≥ 67
≥ 70

< 46
< 55
< 60
< 62
< 65
< 67
< 70

Dopamine hydrochloride < 5 or
dobutamine hydrochloride (any)

Dopamine hydrochloride 5-9.9 or
epinephrine < 0.1 or
norepinephrine bitartrate ≤ 0.1

Dopamine hydrochloride
10-14.9 or
epinephrine 0.1-0.2 or
norepinephrine bitartrate 0.1-0.2

Dopamine hydrochloride > 15 or
epinephrine > 0.2 or
norepinephrine bitartrate > 0.2
Renal
KDIGO AKI Criteria
Patients must have one of the following
1. Increase in baseline Serum creatinine (bSCr) ≥ 0.3 mg/dL within 48 hrs
2. Increase in bSCr ≥ 1.5x baseline that is known or presumed to have occurred within past 7 d
3. Urine volume < 0.5 mL/kg/hr for 6 hr

Baseline
(No AKI)

KDIGO 1
1.5-1.9 x bSCr or
Cr increase > 0.3 mg/dL or
Urine volume < 0.5 mL/kg/hr for 6-12 hours

KDIGO 2
2-2.9 x bSCr or
Urine volume < 0.5 mL/kg/hr for >12 hours

KDIGO 3
>3 x bSCr or
Cr > 4 mg/dL or
Initiation of RRT or
Urine volume < 0.5 mL/kg/hr for > 24 hours or
Anuria> 12 hours
Renal
Weight gain – after diuretics

Baseline

2-5%

>5-10%

>10%

Persistent rise >10%

RRT
Hepatic
Total Bilirubin

Baseline

≥ 2

Doubles in 48h

Doubles in 24h
Hematologic
INR or

Refractory Thrombocytopenia

<1.2

1.2 -1.5

< 3 days

>1.5-1.9

3-7 days

≥2

Need replacement of factors
> 7 days

Active Bleeding
CNS
CAPDe

Baseline or <9

Initial increase from baseline, but < 9

Sequential increase from baseline, but < 9

≥ 9

Sequential increase > 9

≥ 9 and/or recent/active CVA, PRES, or seizures
Immune Reconstitution f
ANC
ALC
Acute GVHD (75)
Active infection

>1500/mm3
>1500/mm3
None
None

>1000-1500/mm3
>1000-1500/mm3
Stage 1
H/o clinically significant infection

500-1000/mm3
>800 -1000/mm3
Stage 2
Active controlled

< 500/mm3
500-800/mm3
Stage 3
Active uncontrolled

<200/mm3
<500/mm3
Stage 4
Multiple active/uncontrolled infections

<100/mm3
<200/mm3
Stage 4
Multiple active/uncontrolled infections

a. May be performed weekly and if clinically significant deterioration. Use the worst value in preceding 24-hour period for each variable b. If concern for pMODS, recommend further screening for endotheliopathies such as CLS, ES, TMA, DAH, IPS, and/or SOS. c. P/F ratio to be used when arterial blood gas is available. Otherwise, use S/F ratio. d. MAP = (1/3 x SBP) + (2/3 x DBP) e. CAPD change from baseline should also be taken into consideration when using CAPD score. e. ANC: absolute neutrophil count [white blood cell count (k/uL) x (%neutrophils+ bands) x 10 f. ALC: absolute lymphocyte count [white blood cell count (k/uL) x (% lymphocytes) x 10 + patients receiving end of life care may be delineated with an organ score and “E” (example 4E); this designation is intended to retain awareness of specific goals of care and explicitly state rationale when invasive organ support interventions are not initiated. f. Assign the highest score if any 1 criteria is met in this category.

The following in Table 2 has been corrected:

Respiratory: Score 0 and Score 2; CV: Score 2; Renal: Score 4; Hematologic: Score 0, Score 1, Score 2, and Score 3; CNS: Score 0 and Score 4; Immune Reconstitution: Score 1 and Score 2 and Footnote f.

The corrected Table 2. Possible Screening for pMODS for Pediatric and Adolescent-Young Adult (AYA) HCT Patients appears below.

The authors apologize for this error and state that this does not change the scientific conclusions of the article in any way. The original article has been updated.

Reference

  • 75. Rowlings PA, Przepiorka D, Klein JP, Gale RP, Passweg JR, Henslee-Downey PJ, et al. IBMTR Severity Index for grading acute graft-versus-host disease: retrospective comparison with Glucksberg grade. Br J Haematol (1997) 97(4):855–64.   10.1046/j.1365-2141.1997.1112925.x [DOI] [PubMed] [Google Scholar]

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