Bedside Score of Viswesh et al for Predicting a First Recurrence of Clostridium difficile Disease

Description

Viswesh et al reported a simple score for predicting a first recurrence of Clostridium difficile disease. This can help to identify a patient who may benefit from more aggressive management. The authors are from Roseman University of Health Sciences, University of Cincinnati, Sharp Grossmont Hospital, University of Southern California Verdugo Hills Hospital and Allergan PLC.

Patient selection: history of an initial episode of Clostridium difficile disease

Outcome: recurrence within 60 days

Parameters:

(1) Clostridium difficile associated diarrhea present on admission

(2) admission temperature in °C

(3) leukocyte count per microliter

(4) nosocomial Clostridium difficile associated diarrhea

(5) abdominal distention

Parameter	Finding	Points
C. difficile diarrhea on admission	absent	0
	present	1
admission temperature	<= 37.8°C	0
	> 37.8°C	1
leukocyte count	<= 15,000 per µL	0
	> 15,000 per µL	1
nosocomial disease	no	0
	yes	1
abdominal distention	absent	0
	present	1

total score =

= SUM(points for all 5 parameters)

Interpretation:

• minimum score: 0

• maximum score: 5

• A score >= 4 was associated with a high risk for recurrence.

• A score <= 1 was associated with a low risk for recurrence.

Performance:

• The area under the ROC curve is 0.72.

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Bedside Score of Viswesh et al for Predicting a First Recurrence of Clostridium difficile Disease

Description

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