Prognostic Score of Horita et al for a Patient with Smear-Positive Tuberculosis in Japan

Description

Horita et al reported a prognostic score for a patient in Japan with tuberculosis. This can help to identify a patient who may benefit from more aggressive management. The authors are from Yokohama City University, Saiseikai Yokohamashi Nanbu Hospital, and Fukujuji Hospital in Japan.

Patient selection: tuberculosis with positive sputum smear in Japan

Parameters:

(1) age in years

(2) oxygen requirement

(3) serum albumin in g/dL

(4) activities of daily living (ADL)

Parameter	Finding	Points
age in years
oxygen required	no	0
	yes	10
serum albumin		-20 *
activities of daily living	independent	0
	semi-dependent	5
	totally dependent	10

total score =

= SUM(points for all 4 parameters)

Interpretation:

• The higher the score the worse the prognosis.

• The highest risk group is at risk for in-hospital death.

Total Score	Risk Group
< -30	minimum
-30 to -1	low
0 to 29	intermediate
30 to 59	high
>= 60	critical

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Prognostic Score of Horita et al for a Patient with Smear-Positive Tuberculosis in Japan

Description

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