Specific etiologies associated with the multiple organ dysfunction syndrome in children: Part 1

Jeffrey S. Upperman, Jacques Lacroix, Martha A.Q. Curley, Paul A. Checchia, Daniel W. Lee, Kenneth R. Cooke, Robert F. Tamburro

Research output: Contribution to journalArticlepeer-review

Abstract

Objective: To describe a number of the conditions associated with multiple organ dysfunction syndrome presented as part of the Eunice Kennedy Shriver National Institute of Child Health and Human Development multiple organ dysfunction syndrome workshop (March 26-27, 2015). Data Sources: Literature review, research data, and expert opinion. Study Selection: Not applicable. Data Extraction: Moderated by an expert from the field, issues relevant to the association of multiple organ dysfunction syndrome with a variety of conditions were presented, discussed, and debated with a focus on identifying knowledge gaps and research priorities. Data Synthesis: Summary of presentations and discussion supported and supplemented by the relevant literature. Conclusions: There is a wide range of medical conditions associated with multiple organ dysfunction syndrome in children. Traditionally, sepsis and trauma are the two conditions most commonly associated with multiple organ dysfunction syndrome both in children and adults. However, there are a number of other pathophysiologic processes that may result in multiple organ dysfunction syndrome. In this article, we discuss conditions such as cancer, congenital heart disease, and acute respiratory distress syndrome. In addition, the relationship between multiple organ dysfunction syndrome and clinical therapies such as hematopoietic stem cell transplantation and cardiopulmonary bypass is also considered. The purpose of this article is to describe the association of multiple organ dysfunction syndrome with a variety of conditions in an attempt to identify similarities, differences, and opportunities for therapeutic intervention.

Original languageEnglish (US)
Pages (from-to)S50-S57
JournalPediatric Critical Care Medicine
Volume18
Issue number3
DOIs
StatePublished - 2017

Keywords

  • Acute respiratory distress syndrome
  • Congenital heart disease
  • Cytokine release syndrome
  • Graft-versus-host disease
  • Hepatic venoocclusive disease/sinusoidal obstruction syndrome
  • Idiopathic pneumonia syndrome
  • Multiple organ dysfunction syndrome

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Critical Care and Intensive Care Medicine

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