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paediatrics anaesthesia-icu

PELOD-2 — Paediatric Logistic Organ Dysfunction Score

PELOD-2 (Leteurtre 2013): 10 variables across 5 organ dysfunctions (neurological, cardiovascular, renal, respiratory, haematological), score 0–33. Use the worst value of each variable over the period; a variable not measured is taken as normal.

Score interpretation

PELOD-2 0–4 — Predicted Mortality < 1 % 0–4

Predicted PICU mortality 0.1–0.9 % (Leteurtre 2013 logit).

→ Continue current PICU management; reassess daily.

PELOD-2 5–9 — Predicted Mortality 1–9 % 5–9

Predicted PICU mortality 1.4–8.5 %.

→ Support failing organs; reassess daily.

PELOD-2 10–14 — Predicted Mortality 13–49 % 10–14

Predicted PICU mortality 12.9–49.3 %.

→ Senior PICU review; multidisciplinary input; discuss intensity of support with the family.

PELOD-2 ≥ 15 — Predicted Mortality > 60 % 15–33

Predicted PICU mortality 60.8 % or more.

→ Family meeting on prognosis and goals of care; involve palliative care alongside full support as agreed.

Interpretation bands for the PELOD-2. Apply clinical judgement and local guidance.

References

Related

Curated clinical cross-links plus same-class fallbacks.

Decision support only — verify against a current formulary, NICE, or your local guideline before clinical use.