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.

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

Description

Specialty