medical decision support medical decision support
Sign In

Triage-ProADM Score of Kutz et al for Risk Stratification in the Emergency Department

Description

ProADM (pro-adrenomedullin) is an inflammatory marker that has been associated with a number of negative outcomes. Kutz et al used it together with clinical status to triage medical patients in the Emergency Department. The authors are from multiple institutions in Europe and are members of the Triage Study Group.


Patient selection: medical patient in the Emergency Department.

 

Outcome: 30-day mortality

 

Parameters:

(1) triage priority (blue, green, yellow, orange, red)

(2) serum ProADM concentration in nmol/L

 

Triage Priority

ProADM

Risk for 30-Day Mortality

blue, green

<= 0.75 nmol/L

low

blue, green

0.76 to 1.5 nmol/L

low

blue, green

> 1.5 nmol/L

moderate

yellow

<= 0.75 nmol/L

low

yellow

0.76 to 1.5 nmol/L

moderate

yellow

> 1.5 nmol/L

high

orange, red

<= 0.75 nmol/L

moderate

orange, red

0.76 to 1.5 nmol/L

high

orange, red

> 1.5 nmol/L

high

 

 

ProADM

30-Day Mortality

<= 0.70 nmol/L

< 1%

0.70 to 0.93

1 - 3%

0.93 to 1.44

6%

1.44 to 2.12

11%

> 2.12 nmol/L

19%

 


To read more or access our algorithms and calculators, please log in or register.

Specialty