Description

Bagaswoto et al reported a simple score for a patient in the cardiac intensive care unit (CICU). This can help to identify a patient who may require more aggressive management. The authors are from Universitas Gadjah/Sardjito General Hospital in Indonesia.


Patinet selection: cardiovascular intensive care unit

 

Parameters:

(1) age in years

(2) pneumonia

(3) ventilator

(4) serum SGPT (ALT) in U/L

(5) serum creatinine in mg/dL

(6) left ventricular ejection fraction (LVEF) in percent

 

Parameter

Finding

Points

age in years

< 60 years

0

 

>= 60 years

1

pneumonia

no

0

 

yes

1

ventilator

no

0

 

ues

3

serum SGPT

<= 50 U/L

0

 

> 50 U/L

1

serum creatinine

<= 1.5 mg/dL

0

 

> 1.5 mg/dL

2

LVEF

>= 40%

0

 

< 40%

1

 

total score =

= SUM(points for all of the parameters)

 

Interpretation:

• minimum score: 0

• maximum score: 9

• The higher the score the greater the mortality.

 

Score

Mortality

0

1.1%

1

2.4%

2

5%

3

11%

4

22%

5

39%

6

58%

7

76%

8

88%

9

94%

 

Performance:

• The sensitivity for mortality is 80% and specificity 74%.


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