Description

Ho et al reported the PREDICT nomogram (Predicted Risk, Existing Diseases, and Intensive Care Therapy) to predict long-term survival of a critically-ill patient. The authors are from the University of Western Australia and Royal Perth Hospital in Australia.


 

Parameters:

(1) age in years (from 20 to 90 years)

(2) predicted mortality (from 10 to 90%)

(3) Charlson comorbidity index (CCI, from 0 to 12)

(4) gender

(5) number of vasopressors days (from 0 to 5)

(6) number of ventilation days (from 0 to 5)

(7) number of hemofiltration days (from 0 to 5)

 

points for age =

= (1.42 * (age in years)) - 28.19

 

Predicted Mortality

Points

10 to 50%

(-0.009 * ((predict)^2)) + (1.132 * (predict)) - 10.54

50 to 90%

(0.244 * (predict)) + 11.3

 

points for CCI =

= (6.072 * ((CCI)) - 0.14

 

Gender

Points

female

0

male

3.5

 

points for vasopressors days =

= (1.41 * (days)) - 0.178

 

points for ventilator days =

= (3.054 * (days)) - 0.122

 

points for hemofiltration days =

= (-0.5422 * ((days)^2)) + (5.89 * (days)) - 0.4342

 

where:

• If vasopressors, ventilator or hemofiltration days exceed 5 days there are 2 options: either cancel the nomogram or set days to 5.

 

total score =

= SUM(points for all 7 parameters)

 

Interpretation:

• minimum score: 0

• maximum score: around 260

• The higher the score the worse the long-term survival.

Total Score

5 Year Survival

< 27

> 90%

27 to 147

(-0.003198 * ((score)^2)) - (0.1381 * (points)) + 97.46

> 147

< 10%

 


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