International Journal of Critical Illness and Injury Science

LETTER TO EDITOR
Year
: 2022  |  Volume : 12  |  Issue : 1  |  Page : 58-

Vasoactive-inotropic score and pediatric septic shock mortality: Correspondence


Pathum Sookaromdee1, Viroj Wiwanitkit2,  
1 Private Academic Consultant, Bangkok, Thailand
2 Department of Community Medicine, Dr DY Patil University, Pune, Maharashtra, India

Correspondence Address:
Dr. Pathum Sookaromdee
Private Academic Consultant, Bangkok
Thailand




How to cite this article:
Sookaromdee P, Wiwanitkit V. Vasoactive-inotropic score and pediatric septic shock mortality: Correspondence.Int J Crit Illn Inj Sci 2022;12:58-58


How to cite this URL:
Sookaromdee P, Wiwanitkit V. Vasoactive-inotropic score and pediatric septic shock mortality: Correspondence. Int J Crit Illn Inj Sci [serial online] 2022 [cited 2022 Dec 4 ];12:58-58
Available from: https://www.ijciis.org/text.asp?2022/12/1/58/340607


Full Text



Dear Editor,

We would like to share ideas on “Validation of the vasoactive-inotropic score in predicting pediatric septic shock mortality: A retrospective cohort study.”[1] Pudjiadi et al. concluded that “vasoactive-inotropic score VIS >11 has a good ability to predict mortality in children with septic shock.”[1] We agree that vasoactive-inotropic score might be a good predictive clinical parameter. However, there are some concerns. First, mortality depends on several factors including the treatment given to the patient. Second, an inclusion criteria for subjects “1 month to 18 years” means heterogenicity of participants. Pathophysiology in small children is different from late adolescence. Finally, the reliability of the vasoactive-inotropic score is still an issue for assessment.[2] Pitfalls are reported and the important limitation of the score is no universally recognized version that consists of all commonly used vasoactive drugs.[3]

Research quality and ethics statement

This letter did not require approval by the Institutional Review Board / Ethics Committee. No specific EQUATOR Network (http://www.equator-network.org/) guidelines are available for letters to the editor.

Financial support and sponsorship

Nil.

Conflict of interest

None.

References

1Pudjiadi AH, Pramesti DL, Pardede SO, Djer MM, Rohsiswatmo R, Kaswandani N. Validation of the vasoactive-inotropic score in predicting pediatric septic shock mortality: A retrospective cohort study. Int J Crit Illn Inj Sci 2021;11:117-22.
2Colleti J Jr., de Carvalho WB. Vasoactive-inotropic score: Is it reliable in pediatric sepsis as a predictive outcome measure? Pediatr Crit Care Med 2017;18:1003.
3Belletti A, Lerose CC, Zangrillo A, Landoni G. Vasoactive-inotropic score: Evolution, clinical utility, and pitfalls. J Cardiothorac Vasc Anesth 2021;35:3067-77.