Description

Karaba et al reported the StenoSCORE for predicting bloodstream infection with Stenotrophomonas maltophilia in a patient with a hematologic malignancy. There are 2 versions of the score - one knowledge-driven and the second based on automatic variable selection. The authors are from Johns Hopkins University.


Patient selection: hematologic malignancy, age >= 12 years

 

Parameters for automatic variable selection risk score:

(1) mucositis

(2) number of days with receipt of carbapenem

 

Parameter

Finding

beta-coefficient

mucositis

no

0

 

yes

1.41

carbapenem receipt

none or < 3 days

0

 

>= 3 days

1.50

 

value of X =

= SUM(points for all parameters) - 3.27

 

probability of Stenotrophomonas sepsis =

= 1 / (1 + EXP((-1) * X))

 

Performance:

• The area under the ROC curve is 0.63, which is less than that of the knowledge-driven score.


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