web analytics

Description

Polilli evaluated patients for sepsis in the intensive care unit. They used the monocyte distribution width and serum procalcitonin to determine the risk of sepsis. The authors are from Pescara General Hospital, University Chieti and University of Bologna in Italy.


Patient selection: patient in the ICU

 

Parameters:

(1) monocyte distribution width (MDW)

(2) procalcitonin in ng/mL

 

MDW

Procalcitonin

Diagnosis

<= 20

NA

sepsis ruled out

20.01 to 22

> 0.5 ng/mL

moderate risk for sepsis

20.01 to 22

<= 0.5 ng/mL

? low risk for sepsis

22.01 to 23

> 0.5 ng/mL

high risk for sepsis

22.01 to 23

<= 0.5 ng/mL

? moderate risk for sepsis

> 23

> 0.5 ng/mL

sepsis ruled in

> 23

<= 0.5 ng/mL

very high risk for sepsis

 

Performance:

• The area under the ROC curve for MDW was 0.84.

• The area under the ROC curve for procalcitonin was 0.81.


To read more or access our algorithms and calculators, please log in or register.