Bereza-Carlson et al reported a score for predicting early mortality for a patient undergoing surgery for pancreatic surgery. The authors are from Lund University, Skane University Hospital and Central Hospital of Kristianstad in Sweden.
SPEM = Score Predicting Early Mortality (death within 12 months)
Parameters:
(1) age of the patient in years
(2) serum CA 19-9 in U/mL
(3) diabetes mellitus
(4) current (active) smoker
(5) serum CRP in mg/L
Parameter
Finding
Points
age of the patient
<= 75 years
0
> 75 years
1.5
serum CA 19-9
<= 500 U/mL
0
> 500 U/mL
1.5
diabetes mellitus
no
0
yes
1.5
active smoker
no
0
yes
1.5
serum CRP
< 15 mg/L
0
>= 15 mg/L
2
total score =
= SUM(points for all of the parameters)
Interpretation:
• minimum score: 0
• maximum score: 8
Score
Risk of Early Death
2 Year Survival
0
low
62%
1.5 to 3.5
intermediate
44%
>= 4.5
high
27%
To read more or access our algorithms and calculators, please log in or register.
