Description

Haniffa et al reported the TropICS (Tropical Intensive Care Score) for evaluating a critically-ill patient in a resource-limited care setting. One representation is a nomogram and another is the logistic regression model ("Model 2"). The authors are from Castle Street Hospital for Women (Sri Lanka) and Mahidol University (Thailand).


Patient selection: critically-ill patient in a resource-poor setting

 

NOTE: The results by this representation does not agree with the nomogram.

 

Parameters:

(1) emergency surgery

(2) hemoglobin in g/dL, over range from 4 to 16

(3) serum BUN in mg/dL, over range from 10 to 610

(4) Glasgow Coma Score (GCS, from 3 to 15)

(5) systolic blood pressure in mm Hg, over range from 30 to 260

(6) respiratory rate in breaths per minute, over range from 4 to 40

 

Parameter

Finding

Points

emergency surgery

no

0

 

yes

0.547

hemoglobin

 

-0.098 * (hemoglobin)

serum BUN

 

0.006 * (BUN)

GCS

 

-0.15 * GCS

systolic blood pressure

 

0.002 * (SBP)

respiratory rate

 

0.005 * (respirations)

 

X =

= SUM(points) - 0.588

 

probability of mortality =

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

 

Performance:

The area under the ROC curve is 0.77.


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