Evidence map›Paper›PMID 34970683›Full record

SynthesisPediatrics2022

Scoring Systems for Organ Dysfunction and Multiple Organ Dysfunction: The PODIUM Consensus Conference.

Luregn J Schlapbach, Scott L Weiss, Melania M Bembea, Joseph A Carcillo, Francis Leclerc, Stephane Leteurtre, Pierre Tissieres, James L Wynn, Jerry Zimmerman, Jacques Lacroix and 1 more

Registry-linked trialOpen access · bronzeAbstract readSystematic ReviewConsensus Statement
In one paragraph

Synthesis in Pediatrics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07397689 (Sepsis Optimal Recognition Toolkit in Children), which is not on this map. Cited by 27 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 2 pooled it
6.0field-weighted citation impact, top 3% 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.

NCT07397689 recruitingnot on this mapstarted 2026, after this paper: background citation

Sepsis Optimal Recognition Toolkit in Children (SORT): An Early Recognition Tool for Children in Asia

Typeobservational_patient_registrySponsorKK Women's and Children's HospitalRan2026 to 2028Enrolled40,000ConditionsInfection, SepsisArmsApplication of the Phoenix Sepsis Score
3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 2 syntheses or guidelines pooled it, 50 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
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  12. Article
  13. New Criteria for Pediatric Sepsis: A Phoenix Rising.The journal of pediatric pharmacology and therapeutics : JPPT : the official journal of PPAG · 2024
    Article
  14. Article
  15. Article
  16. Comparison of the Recent ExPreS Score, WEANSNOW Score, and the Parsimonious HACOR Score as the Best Predictor of Weaning: An Externally Validated Prospective Observational Study.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2024
    Article
  17. Article
  18. Review
  19. Article
  20. Quest for a Whimsical Prescient Tool!Indian journal of pediatrics · 2024
    Article
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

11 authors at 9 institutions in 5 countries.

Luregn J SchlapbachChildren's Research Center and Department of Intensive Care and Neonatology, University Children's Hospital Zurich, Zurich, Switzerland.
Scott L WeissDepartment of Anesthesiology and Critical Care, Children's Hospital of Philadelphia, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania.
Melania M BembeaDepartment of Anesthesiology and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland.
Joseph A CarcilloDepartment of Critical Care Medicine, Children's Hospital of Pittsburgh, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania.
Francis LeclercULR 2694 - METRICS: Évaluation des technologies de santé et des pratiques médicales, Université de Lille, CHU Lille, Lille, France.
Stephane LeteurtreULR 2694 - METRICS: Évaluation des technologies de santé et des pratiques médicales, Université de Lille, CHU Lille, Lille, France.
Pierre TissieresPediatric Intensive Care, Université Paris-Saclay, Le Kremlin-Bicêtre, France.
James L WynnDepartment of Pediatrics and Department of Pathology, Immunology, and Laboratory Medicine, University of Florida, Gainesville, Florida.
Jerry ZimmermanDivision of Pediatric Critical Care Medicine, Department of Pediatrics, Seattle Children's Hospital, Seattle Children's Research Institute, University of Washington School of Medicine, Seattle, Washington.
Jacques LacroixDivision of Pediatric Critical Care Medicine, Centre Hospitalier Universitaire de Sainte-Justine, Université de Montreal, QC, Canada.
Pediatric Organ Dysfunction Information Update Mandate (PODIUM) Collaborative
Université de Lille · FRChildren's Hospital of Pittsburgh · USJohns Hopkins University · USPhiladelphia University · USSeattle Children's Hospital · USUniversité de Montréal · CAUniversité Paris-Saclay · FRUniversity Children's Hospital Zurich · CHUniversity of Florida · US

Funding

Biomarkers of Brain Injury in Critically-Ill Children on Extracorporeal Membrane Oxygenation (ECMO)R01NS106292 · NINDS · JOHNS HOPKINS UNIVERSITY · PI BEMBEA, MELANIA MARIA · 2019 to 2023
$3.1M
NINDS NIH HHS R01 NS106292
6 · The paper itself

Abstract

contextMultiple scores exist to characterize organ dysfunction in children.

objectiveTo review the literature on multiple organ dysfunction (MOD) scoring systems to estimate severity of illness and to characterize the performance characteristics of currently used scoring tools and clinical assessments for organ dysfunction in critically ill children. DATA SOURCES: Electronic searches of PubMed and Embase were conducted from January 1992 to January 2020. STUDY SELECTION: Studies were included if they evaluated critically ill children with MOD, evaluated the performance characteristics of scoring tools for MOD, and assessed outcomes related to mortality, functional status, organ-specific outcomes, or other patient-centered outcomes. DATA EXTRACTION: Data were abstracted into a standard data extraction form by a task force member.

resultsOf 1152 unique abstracts screened, 156 full text studies were assessed including a total of 54 eligible studies. The most commonly reported scores were the Pediatric Logistic Organ Dysfunction Score (PELOD), pediatric Sequential Organ Failure Assessment score (pSOFA), Pediatric Index of Mortality (PIM), PRISM, and counts of organ dysfunction using the International Pediatric Sepsis Definition Consensus Conference. Cut-offs for specific organ dysfunction criteria, diagnostic elements included, and use of counts versus weighting varied substantially. LIMITATIONS: While scores demonstrated an increase in mortality associated with the severity and number of organ dysfunctions, the performance ranged widely.

conclusionsThe multitude of scores on organ dysfunction to assess severity of illness indicates a need for unified and data-driven organ dysfunction criteria, derived and validated in large, heterogenous international databases of critically ill children.

Indexed as

Organ Dysfunction ScoresChildCritical IllnessHumansMultiple Organ FailurePrognosis

Identifiers

PMID34970683
PMCPMC9703039
OpenAlexW4205309591

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.