Evidence map›Paper›PMID 34970671›Full record

ArticlePediatrics2022

Refining the Pediatric Multiple Organ Dysfunction Syndrome.

Scott L Weiss, Joseph A Carcillo, Francis Leclerc, Stephane Leteurtre, Luregn J Schlapbach, Pierre Tissieres, James L Wynn, Jacques Lacroix, Pediatric Organ Dysfunction Information Update Mandate (PODIUM) Collaborative

Open access · greenAbstract readHistorical Article
In one paragraph

Article in Pediatrics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
2.1field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 24 citations in OpenAlex.

  1. Article
  2. Article
  3. Clinical Profile and Survival Outcomes of Children with Acute Kidney Injury Requiring Renal Replacement Therapy: A Retrospective Study from a Tertiary Pediatric Intensive Care Unit.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2026
    Article
  4. Article
  5. Effect of Single High Dose Vitamin D Administration in Critically Ill Vitamin D-deficient Pediatric Patients: A Randomized Trial.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2025
    Article
  6. Article
  7. Review
  8. Article
  9. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 7 institutions in 5 countries.

Scott L WeissDepartment of Anesthesiology and Critical Care, Children's Hospital of Philadelphia, University of Pennsylvania Perelman School of Medicine, Pennsylvania.
Joseph A CarcilloChildren's Hospital of Pittsburgh, Pittsburgh, Pennsylvania.
Francis LeclercUniversity of Lille, Centre Hospitalier Universitaire de Lille, ULR 2694-METRICS: Évaluation des technologies de santé et des pratiques médicales, Lille, France.
Stephane LeteurtreUniversity of Lille, Centre Hospitalier Universitaire de Lille, ULR 2694-METRICS: Évaluation des technologies de santé et des pratiques médicales, Lille, France.
Luregn J SchlapbachPaediatric ICU, Queensland Children's Hospital, Brisbane, Queensland, Australia.
Pierre TissieresPediatric Intensive Care, Assistance Publique-Hôpitaux de Paris-Saclay University, Le Kremlin-Bicêtre, France.
James L WynnDepartment of Pediatrics.
Jacques LacroixDivision of Pediatric Critical Care Medicine, Centre Hospitalier Universitaire Sainte-Justine, Université de Montréal, Montreal, Quebec, Canada.
Pediatric Organ Dysfunction Information Update Mandate (PODIUM) Collaborative
Université de Lille · FRAssistance Publique – Hôpitaux de Paris · FRCentre Hospitalier Universitaire Sainte-Justine · CAChildren's Hospital of Philadelphia · USChildren's Hospital of Pittsburgh · USUniversity Children's Hospital Zurich · CHUniversity of Florida · US

Funding

Inflammation Phenotypes in Pediatric Sepsis Induced Multiple Organ Failure RenewalR01GM108618 · NIGMS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI JOSEPH A CARCILLO · 2014 to 2026
$5.4M
NIGMS NIH HHS R01 GM108618
6 · The paper itself

Abstract

Since its introduction into the medical literature in the 1970s, the term multiple organ dysfunction syndrome (or some variant) has been applied broadly to any patient with >1 concurrent organ dysfunction. However, the epidemiology, mechanisms, time course, and outcomes among children with multiple organ dysfunction vary substantially. We posit that the term pediatric multiple organ dysfunction syndrome (or MODS) should be reserved for patients with a systemic pathologic state resulting from a common mechanism (or mechanisms) that affects numerous organ systems simultaneously. In contrast, children in whom organ injuries are attributable to distinct mechanisms should be considered to have additive organ system dysfunctions but not the syndrome of MODS. Although such differentiation may not always be possible with current scientific knowledge, we make the case for how attempts to differentiate multiple organ dysfunction from other states of additive organ dysfunctions can help to evolve clinical and research priorities in diagnosis, monitoring, and therapy from largely organ-specific to more holistic strategies.

Indexed as

Organ Dysfunction ScoresChildCritical CareCritical IllnessDiagnosis, DifferentialHistory, 20th CenturyHumansMultiple Organ Failure

Identifiers

PMID34970671
PMCPMC9084565
OpenAlexW4206497042

What OpenQuestion holds

Textmetadata
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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.