The MPM at admission (MPM-0) collects data at the time the patient is admitted to the ICU.
Patient selection: adult
Parameters:
(1) level of consciousness
(2) admission
(3) CPR prior to admission
(4) malignant diagnosis
(5) history of chronic renal failure
(6) infection
(7) age in years
(8) history of previous ICU admission
(9) on surgical service at the time of ICU admission
(10) heart rate at ICU admission, in beats per minute
(11) systolic blood pressure in mm Hg
|
Parameter |
Finding |
Points |
|
level of consciousness |
not stupor or coma |
0 |
|
|
stupor or coma |
1 |
|
admission |
not emergent |
0 |
|
|
emergency |
1 |
|
CPR prior to admission |
no |
0 |
|
|
yes |
1 |
|
malignancy |
absent or not a problem |
0 |
|
|
current problem |
1 |
|
history of chronic renal failure (CRF) |
no |
0 |
|
|
yes |
1 |
|
infection |
absent |
0 |
|
|
present |
1 |
|
age in years |
|
<years> |
|
history of previous ICU admission |
none |
0 |
|
|
more than 6 months ago |
0 |
|
|
within past 6 months |
1 |
|
surgical service |
no |
0 |
|
|
yes |
1 |
|
heart rate on ICU admission |
|
<heart rate> |
|
systolic blood pressure |
|
<systolic blood pressure> |
X =
= (2.8902 * (points for level of consciousness)) + (1.2671 * (points for admission)) + (1.0137 * (points for CPR)) + (0.94131 * (points for malignancy)) + (0.64049 * (points for history of CRF)) + (0.55592 * (points for infection)) + (0.047789 * (points for age)) + (0.43946 * (points for history of ICU admission)) - (0.37987* (points for surgical service)) + (0.00736 * (points for heart rate)) - (0.04591 * (points for systolic blood pressure)) + (0.000116 * ((points for systolic blood pressure)^2)) - 2.9678
probability of hospital mortality =
= 1 / (1 + EXP((-1) * X))
Specialty: Critical Care, Emergency Medicine
ICD-10: ,
