Description

Sukmark et al reported the THAI-ICU score for evaluating a critically-ill patient in a resource-limited care setting. The authors are from multiple institutions in Thailand.


Parameters:

(1) Glasgow coma scale (GCS)

(2) mean arterial pressure in mm Hg

(3) positive net fluid balance in liters

(4) respiratory rate in breaths per minute

(5) platelet count per microliter

(6) serum BUN in mg/dL

 

Parameter

Finding

Points

GCS

15

0

 

10 to 14

4

 

3 to 9

13.5

mean arterial pressure

>= 70 mm Hg

0

 

< 70 mm Hg

2.5

positive fluid balance

<= 1.5 liters

0

 

> 1.5 liteers

1.5

respiratory rate

<= 24

0

 

> 24

1.5

platelet count

>= 150,000 per µL

0

 

< 150,000 per µL

2.0

serum BUN

<= 20 mg/dL

0

 

> 20 mg/dL

1.5

 

total score =

= SUM(points for all of the parameters)

 

Interpretation:

• minimum score: 0

• maximum score: 22.5

• The higher the score the more severe the critical illness.

 

risk of mortality =

= (0.00019 * ((score)^2)) + (0.033 * (score)) - 0.006

 

Performance:

• The area under the ROC curve is 0.81.


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