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Background The pediatric logistic organ dysfunction (PELOD) score is widely used as a predictive tool of patient outcomes in pediatrics intensive care unit (PICU) settings, including for dengue shock syndrome (DSS) patients. We evaluated the predictive value of PELOD scores in DSS patients taken within the first hours after PICU admission. Objective To evaluate the usefulness of PELOD scores taken in day 1 of PICU admission for predicting outcomes in DSS patients. Methods We included 81 DSS subjects admitted to the PICU between April 2006 - October 2009 by consecutive sampling. There were 12 children under 12 months of age, 48 children 1- 5 years of age, and 21 children above 5 years of age enrolled in the study. PELOD calculations were performed as set out by original articles, using the published formula. Results0fthe81PICUpatients,15 (18.5%) died. The estimated, predicted mortality using PELOD scores were 43% for infants under 12 months, 12% for children 1 - 5 years, and 10% for children above 5 years. The actual mortality rates were 58.3% (7 subjects) for infants under 12 months, 10.4% (5 subjects) for children 1-5 years, and 14.3% (3 subjects) for children above 5 years. In patients who died, PELOD indicated the most common organ problems to be hepatic disorders (SGOT/SGPT > 950 IU!L) and haematologic disorders (prothrombin time, INR > 1.65) in 8 (53.3%) subjects and 9 (60%) subjects, respectively. Conclusion PELOD scores from subjects taken on day 1 of PICU admission can be used to predict mortality outcome. [Paediatr lndones. 2012;5 2: 72-7].

Pediatric logistic organ dysfunction score as a predictive tool of dengue shock syndrome outcomes