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Evaluation

Are you evaluating an adult admitted to the ICU?

Age of the patient

years

Does the patient have a previous history of an admission to the ICU during the past 5 years?

Does the patient have a history of surgery during the past 5 years?

Does the patient have open skin lesions at the time of admission to the ICU?

Length of hospital stay prior to ICU admission (enter 0 if direct admit to the ICU)

days

Results

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