Modified SOFA Score of McBride for Dengue Fever

Description

McBride et al reported a modified SOFA (Sequential Organ Failure Assessment) score for use in patients with dengue fever. The authors are from Oxford University, Brighton and Sussex Medical School, University of Medicine and Pharmacy of Ho Chi Minh City and Imperial College London.

Patient selection: severe dengue fever, in the ICU

Measure	Finding	Points
PaO2 to FIO2 ratio	>= 400 mm Hg	0
	315 – 399.99 mm Hg	1
	235 to 314.99 mm Hg	2
	150 – 234.99 mm Hg	3
	>= 150 mm Hg and respiratory support	3
	< 150 mm Hg and respiratory support	4
platelet count	>= 150,000 per µL	0
	100,000 to 149,999 per µL	1
	50,000 to 99,999 per µL	2
	20,000 to 49,999 per µL	3
	< 20,000 per µL	4
serum bilirubin	< 1.2 mg/dL	0
	1.2 – 1.9 mg/dL	1
	2.0 – 5.9 mg/dL	2
	6.0 – 11.9 mg/dL	3
	>= 12.0 mg/dL	4
hypotension	mean arterial pressure >= 70 mm Hg and pulse pressure >= 20 mm Hg	0
	mean arterial pressure < 70 mm Hg or pulse pressure 10-19 mm Hg, no pressor agents used	1
	pulse pressure < 10 mm Hg	2
	dobutamine, any dose	2
	dopamine <= 5 µg per kg per min	2
	dopamine > 5 to 15 µg per kg per min	3
	dopamine > 15 µg per kg per min	4
	epinephrine <= 0.1 µg per kg per min	3
	epinephrine > 0.1 µg per kg per min	4
	norepinephrine <= 0.1 µg per kg per min	3
	norepinephrine > 0.1 µg per kg per min	4
Glasgow coma score	15	0
	13 - 14	1
	10 - 12	2
	6 - 9	3
	3 - 5	4
serum creatinine or urine output	serum creatinine < 1.2 mg/dL	0
	serum creatinine 1.2 – 1.9 mg/dL	1
	serum creatinine 2.0 – 3.4 mg/dL	2
	serum creatinine 3.5 – 4.9 mg/dL	3
	urine output 200 - 499 mL per day	3
	serum creatinine >= 5.0 mg/dL	4
	urine output < 200 mL per day	4

total score =

= SUM(points for all of the parameters)

Interpretation:

• minimum score: 0

• maximum score: 24

• The higher the score the more severe the dengue fever.

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Modified SOFA Score of McBride for Dengue Fever

Description

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