Talmor et al developed a simple score to help triage patients during pandemic influenza. These can help to identify a patient who may require more aggressive management. The authors are from Beth Israel Deaconess Medical Center and Harvard Medical School.
Patient selection: H1N1 pandemic influenza
Parameters:
(1) age of the patient in years
(2) respiratory rate in breaths per minute
(3) heart rate and systolic blood pressure (shock index, see 06.01.06)
(4) oxygen saturation
(5) mental status
|
Parameter |
Finding |
Complex |
Simple |
|
age of the patient in years |
< 65 years of age |
0 |
0 |
|
|
65 to 74 years |
3 |
1 |
|
|
>= 75 years of age |
4 |
1 |
|
respiratory rate |
<= 30 breaths per minute |
0 |
0 |
|
|
> 30 breaths per minute |
4 |
1 |
|
heart rate and systolic BP |
heart rate <= systolic BP (shock index <= 1) |
0 |
0 |
|
|
heart rate > systolic BP (shock index > 1) |
3 |
1 |
|
oxygen saturation |
normal |
0 |
0 |
|
|
low |
3 |
1 |
|
mental status |
normal |
0 |
0 |
|
|
altered |
2 |
1 |
complex score =
= SUM(complex points for all of the parameters)
simple score =
= SUM(simple points for all of the parameters)
Interpretation:
• minimum score: 0
• maximum complex score: 16
• maximum simple score: 5
• The higher the score the greater the need for admission to the ICU and the greater the risk of mortality.
Specialty: Critical Care, Emergency Medicine
ICD-10: ,
