Asadollahi et al identified risk factors associated with hospital mortality in a patient who was admitted acutely. The authors are from the Liverpool School of Tropical Medicine.
Parameters:
(1) plasma glucose
(2) serum sodium
(3) white blood cell count
Parameter |
Finding |
Points |
---|---|---|
plasma glucose |
<= 11 mmol/L |
0 |
|
> 11 mmol/L |
1 |
serum sodium |
>= 125 mmol/L |
0 |
|
< 125 mmol/L |
1 |
white blood cell count |
<= 10 * 10^9/L |
0 |
|
> 10 * 10^9/L |
1 |
number of risk factors =
= SUM(points for all 3 parameters)
Interpretation:
• minimum number of risk factors: 0
• maximum number of risk factors: 3
Pattern of the Factors |
Mortality Rate |
---|---|
glucose + WBC + sodium |
4.0% |
WBC + sodium |
3.9% |
glucose + sodium |
3.0% |
glucose + WBC |
2.7% |
sodium |
2.3% |
WBC |
2.0% |
glucose |
1.6% |
none |
around 1.0% |
where:
• The mortality rate when all 3 parameters are normal was not stated. The mortality rates in Figures 1, 2 and 3 are about 1% for when each parameter is normal.
Purpose: To identify laboratory findings associated with hospital mortality after an acute admission as reported by Asadollahi et al.
Objective: risk factors, severity, prognosis, stage, prevention, public health
ICD-10: Z51.9,