Gonzalez-Vicent et al developed a simple risk score for predicting the likelihood of PICU admission for a pediatric patient treated with a hematopoietic stem cell transplant (HSCT). This can help identify a patient who may require closer monitoring. The authors are from Nino Jesus Children's Hospital in Madrid, Spain.
Parameters:
(1) gender of the patient
(2) type of stem cell transplant
(3) engraftment syndrome
(4) graft vs host disease
(5) disease status at time of transplant
|
Parameter |
Finding |
Points |
|
gender of the patient |
female |
0 |
|
|
male |
1 |
|
type of transplant |
autologous |
0 |
|
|
allogeneic |
1 |
|
engraftment syndrome |
absent |
0 |
|
|
present |
1 |
|
grade of GVHD |
none |
0 |
|
|
Grade 1 |
0 |
|
|
Grade 2 to 4 |
1 |
|
disease status |
first complete remission |
0 |
|
|
second complete remission |
1 |
|
|
third complete remission |
2 |
total risk score =
= SUM(points for all 5 parameters)
Interpretation:
• minimum score: 0
• maximum score: 6
• The higher the score the greater the risk of PICU admission.
|
Total Score |
Risk Group |
PICU Admission |
|
0 to 2 |
low |
10% |
|
3 to 6 |
high |
64% |
Specialty: Critical Care, Emergency Medicine, Hematology Oncology, Surgery, general
ICD-10: ,
