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Evaluating a Patient at the Time of ICU Discharge Using the Sabadell Score (Modified McCabe Score)

Description

Fernandez et al used a modification of the McCabe score (developed for sepsis) to evaluate patients at discharge from the intensive care unit (ICU). This can help identify patients who have a high risk of in-hospital mortality. The authors are from Hospital de Sabadell in Sabadell, Spain.


 

Patient selection: at time of discharge from ICU to hospital ward

 

Parameters:

(1) prognosis

(2) ICU readmission

Prognosis

ICU Readmission

Score

good long-term prognosis

NA

0

poor long-term prognosis (> 6 months)

unrestricted

1

poor short-term prognosis (< 6 months)

debatable value

2

poor short-term prognosis (< 6 months)

not recommended

3

 

 

Score

Mortality after ICU Discharge

0

1.7%

1

17%

2

41%

3

81%

 

Other factors associated with mortality on the hospital ward:

(1) age (risk increases with age)

(2) APACHE II risk of death

(3) tracheostomy (associated with reduced risk)

 


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