MORTALITY’S PREDICTOR

BETWEEN pSOFA AND PELOD-2 SCORE

AMONG CRITICALLY ILL CHILDREN
Rizal Marubob Silalahi*, Badai Buana Nasution, Bugis Mardina Lubis
*Corresponding author to provide phone +62-812-639-5940; e-mail : dr_rizalms@yahoo.com

Department of Child Health

Faculty of Medicine
Universitas Sumatera Utara
Adam Malik General Hospital, Medan 1
 BACKGROUND
v A sequential organ failure assessment (SOFA) score
has developed into a pediatric sequential organ failure
assessment (pSOFA) score.

v However, this scoring has not been widely applied to

pediatric patients as the pediatric logistic organ
dysfunction-2 (PELOD-2) score is still the most widely
used scoring system to determine the severity of organ
dysfunction and provides a descriptive of patient’s
outcome in PICU. 2
 OBJECTIVE

This study was to compare the mortality’s predictor

ability between pSOFA and PELOD 2
among critically ill children.

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 METHODS

A retrospective study was conducted in PICU Adam Malik

General Hospital by a total sampling of patients admitted
from May 2019 until May 2020.

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 RESULT
Table 1. The accuracy of pSOFA and PELOD-2 Score in predicting mortality

• 184 patients were admitted to PICU. 142 consecutive admissions fulfilling the
inclusion criteria were enrolled in the study. Analysis using the ROC curve
obtained AUC of PELOD-2 score was 98.7% (95%CI 97.2%-100%, p<0.001) and
pSOFA score was 97.4% (95%CI 94.5%-100%, p<0.001) in predicting mortality.
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 RESULT AND CONCLUSION
• Patient who has PELOD 2 score ≥8.5, will have higher mortality risk
compared PELOD-2 score <8.5 (RR 36.563 (95%CI 9.296-143.812),
p<0.001) which 8.5 cut-off had sensitivity 96.8%, specificity 95%, PPV
93.8%, NPV 97.4% and accuracy 95.8%.

• While pSOFA score ≥3.5, will have higher mortality risk compared pSOFA
score <3.5 (RR 37.619 (95%CI 9.5665-147.950), p<0.001) which 3.5 cut-
off had sensitivity 96.8%, specificity 96.2%, PPV 95.2%, NPV 97.5% and
accuracy 96.5% respectively for predicting mortality.

pSOFA score has a better performance in predicting critically ill children’s

mortality compared to PELOD-2 score. A pSOFA score ≥3.5 increases the risk of
mortality by 37.619-fold. 6