Community-Acquired Sepsis (CAS) Score of Diktas et al

Description

Diktas et al reported a score for evaluating an adult for community-acquired sepsis. This can help to identify a patient who may benefit from more aggressive management. The authors are from multiple institutions in Turkey, Egypt, Puerto Rico, Kazakhstan, Saudi Arabia and Europe.

Patient selection: suspected sepsis, age > 18 years

Parameters:

(1) acute oliguria

(2) altered level of consciousness

(3) persistent hypotension (persistence despite intravenous crystalloid infusion)

(4) fever (undefined)

(5) serum creatinine in mg/dL

(6) age in years

(7) serum total protein in g/dL

Parameter	Finding	Points
acute oliguria	no	0
	yes	1.147
altered consciousness	no	0
	yes	0.799
persistent hypotension	no	0
	yes	1.87
fever	no	0
	yes	-0.935
serum creatinine		0.119 * (creatinine)
age		0.0154 * (age)
serum total protein		-0.309 * (protein)

value of X =

= SUM(points for all of the parameters) - 2.385

probability of sepsis =

= 1/(1+EXP((-1)*X))

Performance:

• The area under the ROC curve is 0.87.

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Community-Acquired Sepsis (CAS) Score of Diktas et al

Description

Specialty