Comparing Pediatric Index of Mortality 3, Pediatric Logistic Organ Dysfunction 2 (PELOD-2), and Modified PELOD-2 scores for Mortality Prognosis in Vietnamese Children with Multiple Organ Dysfunction Syndrome

Objective: To evaluate the performance of three scores, Pediatric Index Mortality 3 (PIM-3), Logistic Organ Dysfunction 2 (PELOD-2), and modified PELOD-2 in predicting mortality multiple organ dysfunction syndrome (MODS) children Vietnam.Material Methods: This cross-sectional study MODS admitted to pediatric intensive care unit (PICU) a central children’s hospital Mekong Delta, Vietnam, was undertaken from April 2019 June 2021. All scores were evaluated using receiver operating characteristic (ROC) curves for discrimination Hosmer-Lemeshow goodness-of-fit test calibration.Results: Of eighty-four subjects, median age 24.5 months overall rate 63.1%. ROC curve analysis showed that area under PIM-3, PELOD-2, death 0.77, 0.89, respectively. With individual cut-offs, had sensitivities 81.1%, 79.2%, respectively, specificities 61.3%, 87.1%, 80.6%, performed well test, indicating high calibration between predicted observed mortalities (PIM-3: χ²=4.36, p-value=0.823; PELOD-2: χ²=4.837, p-value=0.775; χ²=6.082, p-value=0.638).Conclusion: The better prognosis than PIM-3 score. Compared with fewer parameters can still predict Vietnamese when cut-off score ≥9.