Escala Pronostica del Enfermo Critico (EPEC) of Sanchez et al

Description

Sanchez et al developed the Escala Pronostica del Enfermo Critico (EPEC) for evaluating patients admitted to the ICU. The authors are from Hospital Militar Central Dr. Luis Diaz Soto.

Parameters:

(1) age in years

(2) comorbidities

(3) delay in admission to the ICU in hours

(4) cardiopulmonary resuscitation prior to ICU admission

(5) heart rate

(6) mean arterial pressure

(7) ratio of PO2 to FIO2

(8) Glasgow coma score

(9) serum potassium concentration

(10) mechanical ventilation

Parameter	Findings	Points
age in years	< 44 years	2
	45 to 54 years	3
	55 to 64 years	5
	65 to 74 years	7
	>= 75 years	11
chronic renal failure	no	0
	yes	30
hepatic insufficiency	no	0
	yes	30
COPD	no	0
	yes	15
diabetes mellitus type I	no	0
	yes	10
ischemic heart disease	no	0
	yes	5
delay in ICU admission		hours
CPR prior to ICU admission	no	0
	yes	40
heart rate	< 60 beats per minute	10
	60 to 180 beats per minute	0
	> 180 beats per minute	10
mean arterial pressure	< 56 mm H	10
	56 to 146 mm Hg	0
	> 146 mm Hg	10
PaO2 to FIO2 ratio	>= 300 mm Hg	0
	< 300 mm Hg	10
Glasgow coma score (GCS)		15 - (GCS)
serum potassium	< 2.5 mmol/L	10
	2.5 to 6.0 mmol/L	0
	> 6.0 mmol/L	10
mechanical ventilation	no	0
	yes	35

where:

• If the maximum score is 300, then the maximum points for a delay in ICU admission is 72 hours.

total score =

= SUM(points for all of the parameters)

Interpretation:

• minimum score: 2

• maximum score: 300

• The higher the score the greater the hospital mortality rate.

predicted mortality rate in percent =

= 0.333 * (total score)

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Escala Pronostica del Enfermo Critico (EPEC) of Sanchez et al

Description

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