Hausfater et al developed a risk score for evaluating a patient with non-exertional heatstroke. This can help to triage the patient based on risk of mortality. The authors are from multiple hospitals in Paris, France.
Parameters dealing with comorbid conditions:
(1) chronic therapy with diuretics
(2) living in an institution
(3) age of the patient in years
(4) presence of heart disease
(5) cancer
Parameters dealing with severity of heatstroke episode:
(6) core temperature at presentation in °C
(7) systolic blood pressure in mm Hg
(8) Glasgow coma score (GCS)
(9) transportation of the patient to the hospital by ambulance
|
Parameter |
Finding |
Points |
|
chronic therapy with diuretics |
no |
0 |
|
|
yes |
1 |
|
living in an institution |
no |
0 |
|
|
yes |
1 |
|
age of the patient in years |
<= 80 years |
0 |
|
|
> 80 years |
1 |
|
presence of heart disease |
no |
0 |
|
|
yes |
1 |
|
cancer |
no |
0 |
|
|
yes |
2 |
|
core temperature |
<= 40°C (104°F) |
0 |
|
|
> 40°C |
2 |
|
systolic blood pressure |
>= 100 mm Hg |
0 |
|
|
< 100 mm Hg |
4 |
|
Glasgow coma score |
12 to 15 |
0 |
|
|
3 to 11 |
5 |
|
transportation by ambulance |
no |
0 |
|
|
yes |
5 |
total score =
= SUM(points for all 9 parameters)
Interpretation:
• minimum score: 0
• maximum score: 22
• The higher the score the worse the prognosis.
• Survival at 1 week in the high risk group was only about 30%.
|
Total Score |
Risk Group |
1 Week Survival (Estimated) |
1 Year Survival |
|
0 to 6 |
low |
94% |
85% |
|
7 to 12 |
intermediate |
83% |
61% |
|
13 to 22 |
high |
30% |
18% |
Specialty: Emergency Medicine, Critical Care
ICD-10: ,
