Ressources et utilitaires
Scoring systems for ICU and surgical patients:
GMSPS Score (Glasgow Meningococcal Septicaemia Prognostic Score)
Variables (on admission)
Values
Points
Hypotension (SBP < 75 mmHg if below of 4 years of age, < 85 mmHg if older)
Yes
No
Skin / rectal temp. difference > 3°C
Yes
No
Base deficit (capillary sample) < 8 mmol/L
Yes
No
Coma score (Simpson & Reilly) < 8 at any time or deterioration of >=3 in an hour
Yes
No
Lack of meningism
Yes
No
Parental opinion that child's condition as become worse over the past hour
Yes
No
Widespread ecchymoses, or extending lesions on review
Yes
No
Score = Sum (points)
A score > 8 indicate a fatal outcome.
Reference:
Sinclair JF et al. Prognosis of meningococcal septicaemia.
Lancet
1987;2(8549):38.
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