Ford et al reported a score based on administrative data for evaluating a patient with sepsis. The authors are from the Medical University of South Carolina.
Patient selection: adult with sepsis
Parameters:
(1) age
(2) sex
(3) race
(4) mechanical ventilation
(5) shock
(6) hemodialysis
(7) ICU care
(8) comorbidities (20)
|
Parameters |
Findings |
Points |
|
age |
< 40 years |
0 |
|
|
40 to 49 years |
8 |
|
|
50 to 59 years |
10 |
|
|
60 to 69 years |
12 |
|
|
70 to 79 years |
15 |
|
|
80 to 89 years |
18 |
|
|
>= 90 years |
23 |
|
sex |
male |
0 |
|
|
female |
6 |
|
race |
white |
0 |
|
|
black |
6 |
|
|
hispanic |
6 |
|
mechanical ventilation |
no |
0 |
|
|
early (<= 2 days after admission) |
20 |
|
|
late (> 2 days after admission) |
23 |
|
shock |
no |
0 |
|
|
yes |
12 |
|
hemodialysis |
no |
0 |
|
|
yes |
10 |
|
ICU care |
none or less than 1 day |
0 |
|
|
1 day or more |
2 |
|
Comorbidity |
Points if Present |
|
anemia |
1 |
|
depression |
2 |
|
diabetes |
4 |
|
drug and substance abuse |
1 |
|
chronic lung disease |
4 |
|
congestive heart failure |
5 |
|
hypertension |
3 |
|
hypothyroidism |
4 |
|
liver disease |
13 |
|
malignant lymphoma |
11 |
|
neurologic condition |
4 |
|
obesity |
2 |
|
paraplegia |
3 |
|
perivascular condition |
7 |
|
psychiatric disease |
1 |
|
pulmonary circulatory |
6 |
|
renal failure, chronic |
6 |
|
malignant solid tumor |
10 |
|
metastatic |
15 |
|
weight loss |
3 |
where:
• Only one of malignant solid tumor and metastatic tumor should be scored.
total score =
= SUM(points for all of the parameters)
Interpretation:
• minimum score: 0
• maximum score: dependent on number of comorbid conditions (may be 166)
Performance:
• This was affected by the cohort.
• The area under the ROC curve varied from 0.71 to 0.84.
Specialty: Infectious Diseases
