Kobayashi reported a score for patients with obstetrical disseminated intravascular coagulation (DIC). This is composed of 3 parts which can be combined into a final score. The author is from Hamamatsu Medical Center in Shizuoka, Japan.
Patient selection: pregnant woman
Components:
(1) underlying disease (ranging from 0 to 5)
(2) clinical symptoms (ranging from 0 to 36)
(3) laboratory findings (ranging from 0 to 7)
total score =
= SUM(points for all 3 subscores)
Interpretation:
• minimum score: 0
• maximum score: 48
• The higher the score the greater the risk for DIC.
• Treatment may be started before laboratory results are available if the combination of underlying disease and clinical symptoms is >= 8.
• A diagnosis of DIC can be made when the total score is >= 13 and results of laboratory subscore is >= 2.
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