HIV In-Hospital Mortality Prediction (HIV-IMP) Risk Score of Laher et al

Description

Laher et al reported a score for evaluating an HIV patient in the hospital. This can help to identify a patient who may require more aggressive management. The authors are from the University of Witwatersrand and University of Pretoria in South Africa.

Patient selection: hospitalized HIV-positive patient

Parameters:

(1) non-adherent or not yet on anti-retroviral therapy (ART)

(2) Glasgow coma scale, from 3 to 15

(3) respiratory rate in breaths per minute

(4) oxygen saturation in percent

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

(6) serum creatinine in µmol/L

(7) serum lactate in mmol/L

(8) serum albumin in g/L

Parameter	Finding	Points
ART	on and adherent	0
	neither	1
Glasgow coma scale	15	0
	3 to 14	2
respiratory rate	<= 20 breaths per minute	0
	> 20 breaths per minute	1
oxygen saturation	>= 90%	0
	< 90%	1
white blood cell count	>= 4 * 10^9/L	0
	< 4 * 10^9/L	1
serum creatinine	<= 120 µmol/L	0
	> 120 µmol/L	1
serum lactate	<= 2 mmol/L	0
	> 2 mmol/L	2
serum albumin	>= 35 g/L	0
	< 35 g/L	1

total score =

= SUM(points for all of the parameters)

Interpretation:

• minimum score: 0

• maximum score: 10

Total Score	Inpatient Mortality
0	< 1.2%
1	1.2%
2	1.7%
3	3.2%
4	4.7%
5	6.8%
6	10.5%
7	15%
8	21.5%
9	34.8%
10	81%

Performance:

• The area under the ROC curve is 0.83.

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HIV In-Hospital Mortality Prediction (HIV-IMP) Risk Score of Laher et al

Description

Specialty