Kigali Surgical Sepsis (KiSS) Score

Description

Niyongombwa et al reported the Kigali Surgical Sepsis (KiSS) score for evaluating a surgical patient with sepsis. This may be of use in low- or middle-income settings where resources may be limited. The authors are from the University of Rwands in Kigali, Bushenge Provincial Hospital and Kibuye Referral Hospital.

Parameters:

(1) age in years

(2) systolic blood pressure in mm Hg

(3) respiratory rate in breaths per minute

(4) Glasgow coma scale

(5) gastrointestinal perforation

(6) comorbidities (one or more significant conditions other than the primary condition)

Parameter	Finding	Points
age in years	<= 55 years	0
	> 55 years	1
systolic blood pressure	< 90 mm Hg	1
	>= 90 mm Hg	0
respiratory rate	<= 24 breaths per minute	0
	> 24 breaths per minute	1
Glasgow coma scale	15	0
	3 to 14	1
GI perforation	no	0
	yes	1
comorbidity	no	0
	yes	1

total score =

= SUM(points for all of the parameters)

Interpretation:

• minimum score: 0

• maximum score: 6

Total Score	Color Code	Mortality
1 or 2	green	2.2%
3 or 4	yellow	52%
5 or 6	red	77%

Performance:

• The area under the ROC curve for ICU admission was 0.66 which is comparable to the qSOFA score.

• The area under the ROC curve for in-hospital mortality was 0.94versus 0.68 for theqSOFA score.

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