Pediatric sequential organ failure assessment score predicts prognosis in children with acute lymphoblastic leukemia and sepsis: association with early multiple organ dysfunction. (PubMed, Am J Cancer Res)
Children with ALL complicated by sepsis, characterized by bloodstream infection, pulmonary infection, multiple site infection, and intermediate-to-high-risk subtypes, have a higher risk of death upon admission to the PICU. Leukemia remission status, 24-hour lactate clearance, inflammatory response, organ function, and respiratory function indicators within 48 hours of PICU admission are closely related to prognosis. Multidimensional indicators combined with a clinical scoring system can help identify high-risk children early and optimize the timing of PICU intervention, thereby improving prognosis.