Del Castillo et al reported the GYM score for predicting mortality for an elderly adult in the emergency department with sepsis. The authors are from the Infectious Disease Group of the Spanish Emergency Medicine Society.
Patient selection: age >= 75 years in emergency department
Outcome: 30-day mortality
Parameters:
(1) Glasgow coma scale (G)
(2) tachypnea (Y)
(3) Charlson comorbidity index as measure of morbidity (M)
Parameter
Finding
Points
Glasgow coma scale
15
0
3 to 14
1
tachypnea
<= 20 breaths per minute
0
> 20 breaths per minute
1
Charlson comorbidity
0 to 2
0
>= 3
1
total score =
= SUM(points for all 3 parameters)
Interpretation:
• minimum score: 0
• maximum score: 3
• The higher the score the greater the risk of mortality.
GYM score
Mortality
0
3%
1
6%
2
15%
3
35%
Performance:
• The area under the ROC curve is 0.75.
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