DELAWARE (Dense Laboratory Whole Blood Applied Risk Estimation) of Stachon et al for Predicting Mortality for a Patient in the Surgical Intensive Care Unit (SICU)

Description

Stachon et al developed the Score for predicting mortality for a patient in the surgical intensive care unit. This can help to identify a patient who may benefit from more aggressive management. The authors are from Ruhr University in Bochum, Germany.

Parameters:

(1) ALT in IU/L

(2) C reactive protein in mg/dL

(3) total cholesterol in mg/dL

(4) serum creatinine in mg/dL

(5) creatinine kinase MB in U/L

(6) white blood cell count in 10^9/L

(7) potassium in mmol/L

(8) platelet count

(9) triglycerides in mg/dL

(10) age in years

Parameter	Finding	Points
ALT in IU/L	ALT in IU/L	LN(ALT)
CRP	<= 1.0 mg/dL	0
	1.1 to 5.0 mg/dL	1
	5.1 to 10 mg/dL	2
	10.1 to 15 mg/dL	3
	> 15 mg/dL	4
cholesterol	< 41 mg/dL	2
	41 to 80 mg/dL	1
	> 80 mg/dL	0
creatinine kinase MB		LN(CK-MB in U/L)
leukocyte count	<= 5,000 per µL	1
	> 5,000 per µL	0
potassium	< 4.5 mmol/L	0
	4.5 to 4.99 mmol/L	1
	>= 5.00 mmol/L	2
platelet count	< 150,000 per µL	1
	>= 150,000 per µL	0
triglycerides in mg/dL		LN (triglycerides)
age	age in years	(years)

where:

• Several of the parameters are measures of organ failure.

X =

= (0.5722 * (points for ALT)) + (0.6246 * (points for CRP)) + (1.0572 * (points for cholesterol)) + (0.2771 * (points for CK-MB)) + (1.2764 * (points for leukocytes)) + (0.7937 * (points for potassium)) + (0.7766 * (points for platelets)) + (0.00397 * (points for triglycerides)) + (0.0548 * (points for years)) - 9.4324

mortality risk =

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

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DELAWARE (Dense Laboratory Whole Blood Applied Risk Estimation) of Stachon et al for Predicting Mortality for a Patient in the Surgical Intensive Care Unit (SICU)

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