Les scores de gravité généraux et de dysfonctions d’organes en réanimation pédiatrique : quoi de neuf en 2016 ?

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• 作者：S. Leteurtre ; M.-E. Lampin ; B. Grandbastien ; M. Recher…
• 关键词：Mots clésScore ; Réanimation ; Pédiatrie ; Gravité ; Dysfonction d’organe
• 刊名：R¨¦animation
• 出版年：2016
• 出版时间：November 2016
• 年：2016
• 卷：25
• 期：6
• 页码：604-618
• 全文大小：3,807 KB
• 刊物主题：Emergency Medicine; Anesthesiology; Intensive / Critical Care Medicine;
• 出版者：Springer Paris
• ISSN：1951-6959
• 卷排序：25

文摘

Severity of illness and organ dysfunction scoring systems are increasingly used in adult and pediatric intensive care unit (PICU) to characterize disease severity and degree of organ dysfunction. In PICU, severity of illness scores are developed independently of diagnosis, taking into account the age of the different populations. Severity of illness scores were developed to better describe the severity of illness at baseline of groups of critically ill patients. Two systems are available: the pediatric index of mortality (PIM)—latest version PIM3 published in 2013, and the Pediatric RISk of Mortality (PRISM) system, which should be used in critically ill neonates, infants, children, or adolescents, (excluding premature infants)—latest version PRISM IV published in 2016. Organ dysfunction scores were developed to better describe the severity of illness during stay in the PICU. The Pediatric Logistic Organ Dysfunction score is the most commonly used pediatric organ dysfunction score—latest version PELOD-2 published in 2013. The purpose of this review is to provide an update about severity of illness and organ dysfunction scoring systems in PICU, to describe tools to evaluate performance and customization, and then discuss utility, limits and perspectives for scoring systems in PICU.