Chamando o procedimento armazenado com o parâmetro Out usando PDO

$dbh->query("CALL SomeStoredProcedure($someInParameter1, $someInParameter2, @someOutParameter)"); 
$dbh->query("SELECT @someOutParameter");

// OR, if you want very much to use PDO.Prepare(),
// insert "SELECT @someOutParameter" in your stored procedure and then use:

$stmt = $dbh->prepare("CALL SomeStoredProcedure(?, ?)"); 
$stmt ->execute(array($someInParameter1, $someInParameter2));