P PSOFA

 A

Here’s a clear breakdown of the Pediatric Sequential Organ Failure Assessment (pSOFA) scoring system based on commonly used pediatric adaptations:

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pSOFA Score – Pediatric Version

Organ systems assessed (6 total):

1. Respiratory – PaO₂/FiO₂ ratio or SpO₂/FiO₂ ratio

2. Coagulation – Platelet count

3. Liver – Bilirubin (mg/dL)

4. Cardiovascular – Mean arterial pressure (MAP) & vasoactive support

5. Central Nervous System – Glasgow Coma Scale (GCS)

6. Renal – Creatinine (mg/dL) or urine output

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1. Respiratory (PaO₂/FiO₂ or SpO₂/FiO₂)

Score	PaO₂/FiO₂ (mmHg)	SpO₂/FiO₂	Ventilation
0	≥400	≥400	None
1	<400	<400	None
2	<300	<315	None
3	<200	<235	Mechanical ventilation
4	<100	<150	Mechanical ventilation

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2. Coagulation (Platelets ×10³/μL)

Score	Platelets
0	≥150
1	<150
2	<100
3	<50
4	<20

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3. Liver (Bilirubin mg/dL)

Score	Bilirubin
0	<1.2
1	1.2–1.9
2	2–5.9
3	6–11.9
4	≥12

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4. Cardiovascular

Score	MAP / Treatment
0	Normal MAP, no vasoactive drugs
1	MAP <5th percentile or dopamine ≤5 μg/kg/min
2	Dopamine >5 or dobutamine any dose
3	Epinephrine ≤0.1 μg/kg/min or norepinephrine ≤0.1 μg/kg/min
4	Epinephrine >0.1 μg/kg/min or norepinephrine >0.1 μg/kg/min

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5. Central Nervous System (GCS)

Score	GCS
0	15
1	13–14
2	10–12
3	6–9
4	<6

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6. Renal (Creatinine mg/dL or urine output)

Score	Creatinine	Urine Output
0	<0.5	≥0.5 mL/kg/hr
1	0.5–0.9	<0.5 mL/kg/hr for 6 hr
2	1–1.9	<0.5 mL/kg/hr for 12 hr
3	2–3.4	<0.5 mL/kg/hr for 24 hr
4	≥3.5	<0.5 mL/kg/hr for 24 hr

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Scoring Interpretation

• Total score: 0–24

• Higher score → higher risk of organ dysfunction and mortality

• An increase of 2 points in pSOFA correlates with ~10% increased mortality risk

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If you want, I can also make a one-page visual chart of pSOFA for pediatric use that’s ICU-ready—so clinicians can see all organ scores at a glance.

Do you want me to make that chart?