SAPS 3, Boxes I and II | Medicalalgorithms.com

Description

The SAPS 3 prognostic model consists of 3 boxes scoring various findings on ICU admission. The authors are the SAPS 3 Investigators from across Europe.

Parameters in Box I:

(1) age in years

(2) comorbidities

(3) length of stay in the hospital before admission to ICU

(4) hospital location prior to ICU admission

(5) use of vasoactive drugs prior to ICU admission

Parameters in Box II:

(1) ICU admissions planned vs unplanned

(2) reasons for ICU admission

(3) surgical status at ICU admission

(4) anatomical site of surgery

(5) acute infection at ICU admission

Parameters for Box I	Findings	Points
age of the patient in years	< 40 years of age	0
	40 to 59 years of age	5
	60 to 69 years	9
	70 to 74 years of age	13
	75 to 79 years of age	15
	>= 80 years of age	18
comorbidities	cancer	11
	hematologic cancer	6
	cancer therapy	3
	CHF NYHA Class IV	6
	AIDS	8
	cirrhosis	8
	none	0
length of hospital stay before ICU	< 14 days	0
	14 to 27.9 days	6
	>= 28 days	7
hospital location before ICU	ED	5
	other ICU	7
	other	8
vasoactive drugs	no	0
	yes	3

where:

• Points are assigned for each comorbidity present according to the footnote.

• A patient with both hematologic cancer and AIDS is assigned "double points." This is interpreted as being 2 * (6 + 8) = 28.

score for Box I =

= SUM(points for all 5 of the parameters)

Parameters for Box II	Findings	Points
ICU admission	planned	0
	unplanned	3
surgical status at ICU admission	no surgery	5
	scheduled surgery	0
	emergency surgery	6
acute infection	none	0
	nosocomial	4
	respiratory	5
	nosocomial respiratory	9
anatomical site of surgery	transplant at any site	-11
	trauma	-8
	CABG without valvular repair	-6
	neurosurgery for cerebrovascular accident (CVA)	5
	other	0
reason for ICU admission	cardiac rhythm disorder	-5
	seizures	-4
	hypovolemic hemorrhagic shock	3
	hypovolemia without shock	3
	acute abdomen or other digestive problem	3
	stupor, coma, obtunded, confusion, delirium, agitation	4
	septic shock	5
	anaphylaxis	5
	mixed or undefined shock	5
	liver failure	6
	focal neurologic deficit	7
	severe pancreatitis	9
	intracranial mass effect	10
	none of the above	0

score for Box II =

= SUM(points for all 5 parameters) + 16

where:

• 16 points was added to avoid a negative SAPS 3 score. This might not succeed in all circumstances. It might be easier to make any negative SAPS 3 score 0.

• If both cardiac rhythm disorder and seizures are present then -4 is assigned.

• If more than one reason for ICU admission is present then all are scored.

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Description

Specialty

ICD-10