Page 172 - Abstract Book KONIKA 18

Emergency & Pediatric Intensive Care

P-EPIC-022
The PELOD-2 Score to Predict Mortality in Critically Ill Patients

Galih Rahman, Choirul Anam
Department of Child Health, Faculty of Medicine, Universitas Lambung Mangkurat/Ulin General Hospital,
Banjarmasin, South Borneo, Indonesia
Abstract
Background The mortality rate of children admitted to the pediatric intensive care unit (PICU) is high
especially in developing countries. The pediatric logistic organ dysfunction (PELOD) score is often
used to assess multiple organ dysfunction with specific parameters for the cardiovascular, respiratory,
hematology, central nervous, renal and hepatic systems. PELOD score may be able to be used to predict
mortality. Nevertheless, lactate examination didn’t performed regularly in our PICUs due some limitation.
Objective To assess the performance of the PELOD-2 score, in predicting mortality in critically ill PICU
patients. Methods The study was conducted at Ulin General Hospital. The inclusion criteria were critically
ill PICU patients hospitalized from January to August 2021 who had complete PELOD-2 score data within
the first 24 hours of admission. Subject’s data were obtained retrospectively from medical records and data
were analyzed. Results We got 68 total patients admitted to PICU, with 44 of them are boys and 24 are
girls. We found that average age of our patient was 6 year 4 months old with total mortality was 32, highest
PELOD-2 score measured was 10 and lowest score measured was 2. Data were analyzed statistically using
SPSS 20.0 with result correlation value 0.927 using Pearson correlation test. Conclusion We tested the use
of the PELOD-2 score in determining the prognosis and the results showed that there was a strong correlation
between the PELOD score and the prognosis of our patients treated in the PICU.
Keywords: PELOD score; pediatric intensive care unit; prognosis.

P-EPIC-023
Correlation Between Thrombocyte Count and Sepsis Outcomes in Children
Yenni Talahatu, Jose M. Mandei, Max F. J. Mantik, Marsino Rondo, Anna M. Muljono
Department of Child Health, Faculty Medicine, Universitas Sam Ratulangi/Prof Dr. R. D. Kandou Hospital,
Manado, North Sumatera, Indonesia
Abstract
Background Sepsis is a life-threatening condition in children admitted in Pediatric Intensive Care Unit
worldwide. It is estimated that around 40% patients with severe sepsis encounter thrombocytopenia with
less than 80.000/mm3 on thrombocyte count. Objective This study was aimed to find correlation between the
thrombocyte count and outcome in children with sepsis. Methods The design was a cross-sectional analytical
observational study conducted in Pediatric Intensive Care Unit BLU Prof Dr. R.D. Kandou Hospital, Manado
from January 2019 to June 2019. The PELOD-2 score was used to determine the diagnosis of sepsis in children
with infection signs and organ dysfunction. Thrombocyte count was done by analyzing fresh blood kept
inside EDTA tube. Normal thrombocyte count ranges from 150.000-400 000 cells/pL. Correlation between
thrombocyte count and mortality was analyzed by using logistic regression. Pearson correlation analysis was
used to analyze correlation between thrombocyte count and length-of-stay. Results From 40 patients with
sepsis, 27 patients were diagnosed of having septic shock. Sepsis outcome based on mortality after released
from PICU consisted of 21 children died, while 19 others survived. There was a very significant correlation
between thrombocyte count and mortality (P=0.002, (rpb)=-0.549). Thrombocyte count also correlated to
length-of-stay (P=0.039, (r)=-0.414). Conclusion The lower thrombocyte count result, the higher the mortality
risk of children with sepsis and the longer surviving children had to stay in hospital.
Keywords: sepsis; thrombocyte count; PELOD-2 score

124 KONIKA XVIII Abstract Book