Chung et al reported the Geriatric Fever Score for evaluating an older adult in the Emergency Department. This can help to identify a patient who may require more aggressive management. The authors are from multiple institutions in Taiwan.
The acronym LST refers to leukocytosis, severe coma, thrombocytopenia.
Patient selection: age >65 years, in the Emergency Room
Parameters:
(1) white blood cell count per microliter
(2) Glasgow coma scale (GCS)
(3) platelet count per microliter
Parameters
Findings
Points
WBC count per µL
<= 12,000
0
> 12,000
1
Glasgow coma scale
9 to 15
0
3 to 8
1
platelet count per µL
>= 150,000
0
< 150,000
1
total score =
= SUM(points for all 3 parameters)
Interpretation:
• minimum score: 0
• maximum score: 3
Total Score
Risk Group
Mortality
0 or 1
low
4%
2 or 3
high
30.3%
Performance:
• The area under the ROC curve is 0.73.
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