Discriminant Functions for Early Recognition of Deterioration in Surgical Patient

Purpose: To evaluate a surgical patient in the hospital using the discriminant scores of Cuthbertson et al.

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Evaluation

Are you evaluating a surgical patient on a general hospital ward?

Yes

Heart rate

beats per minute

Respiratory rate

breaths per minute

Systolic blood pressure

mm Hg

Temperature

Oxygen saturation

percent

Results

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Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Value for f1

Value for f2

Value for f3

Does f2 exceed the high dependency level?

Does f2 exceed the cutoff?

Does f2 exceed the value for the ICU?

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Risk Factors
Clinical Diagnosis, Including Family History For Genetics
Laboratory Tests
- Basic Metabolic Profile (BMP) Risk Score (Intermountain Risk Score)
Other Testing
Criteria For Diagnosis
- Pediatric Advanced Warning System (PAWS)
Severity, Prognosis, Stage
Complications
Differential Diagnosis And Mimics, Red Flags
Failure Handling, When To Refer

Therapy

Options
- Patient-At-Risk Early Warning Score
Selection
Failure Handling And Therapy Escalation
- Patient-At-Risk Early Warning Score
Prevention

Monitoring

Response To Therapy
- Vital Sign Score (VSS) for Evaluating a Patient in the ED
Adverse Effects
- Vital Sign Score (VSS) for Evaluating a Patient in the ED
Disease Progression
Complication Detection
- Modified Early Warning Score for a Hospital Inpatient
- Neonatal Trigger Score (NTS)

Societal Concerns

Economic Cost
- Ambulatory Severity Index (ASI)
- Patient Severity Index (PSI)
Public Health

Objective

clinical diagnosis
including family history for genetics
differential diagnosis and mimics
red flags

ICD-10

Info

Purpose: To evaluate a surgical patient in the hospital using the discriminant scores of Cuthbertson et al.

Objective: clinical diagnosis, including family history for genetics, differential diagnosis and mimics, red flags

ICD-10: ,

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