PELOD-2 — Paediatric Logistic Organ Dysfunction Score
Simplified second-version paediatric organ dysfunction score (Leteurtre 2013). Range 0–33. Daily mortality predictor on PICU. Drives benchmarking and trial endpoint reporting.
Score interpretation
→ Continue current PICU management. Consider step-down once weaning successful.
→ Aggressive support of failing organs; reassess daily. Escalate as needed (CRRT, ECMO consideration if respiratory failure).
→ Senior PICU and parental discussion regarding intensity of support; consider transfer to ECMO centre. Multidisciplinary input (cardiology, nephrology).
→ Family meeting on prognosis and goals of care; palliative-care team involvement; consider treatment limitation discussions per RCPCH framework.
Interpretation bands for the PELOD-2. Apply clinical judgement and local guidance.
References
Related
Curated clinical cross-links plus same-class fallbacks.
- Melatonin · Melatonin Receptor Agonist
- Phytomenadione (Vitamin K1) · Vitamin K (clotting factor cofactor)
- Phytomenadione (Vitamin K1) · Vitamin K (Coagulation Factor Synthesis)
- Ibuprofen (Orthopaedic Musculoskeletal Pain) · NSAID — Non-selective COX Inhibitor
- Vitamin K (Phytomenadione) · Vitamin / Haemostatic
- Chloral Hydrate · Sedative (Procedural)
Decision support only — verify against a current formulary, NICE, or your local guideline before clinical use.