Kobayashi reported a score for patients with obstetrical disseminated intravascular coagulation (DIC). This is composed of several parts including the underlying disease. The author is from Hamamatsu Medical Center in Shizuoka, Japan.
Patient selection: pregnant woman
Parameters:
(1) initial clinical symptoms subscore from DIC score
(2) initial laboratory tests for efficacy
(3) follow-up clinical symptoms subscore after intervention
(4) follow-up laboratory tests for efficacy after intervention
initial efficacy score =
= (initial clinical symptoms) + (initial laboratory tests for efficacy)
follow-up efficacy score =
= (follow-up clinical symptoms) + (follow-up laboratory tests for efficacy)
delta scores =
= (follow-up score) - (initial score)
Interpretation:
• minimum initial or follow-up score: 0
• maximum initial or follow-up score: 52
• minimum delta score: -52
• maximum delta score: 52
• The lower the delta score is the better the response to therapy.
Delta Score
|
Efficacy
|
<= -9
|
excellent
|
-8 to -5
|
good
|
-4 to -1
|
fair
|
0
|
poor
|
>= 1
|
aggravated
|