Ressources et utilitaires

Scoring systems for ICU and surgical patients:

MPM - 48 h 
(Mortality Probability Models)


Variables (Help) Values (1 if yes, 0 otherwise) Beta
Coma (Glasgow 3-5) at 48 h (Help)
Coma (Glasgow 3-5) at admission (Help)
Emergency admission
Prothrombin time > N + 3 sec
(Measures in the period 24- 48 h)
Cancer part of present problem
Infection confirmed at 48 h
FIO2 > O.5
(Measures in the period 24- 48 h)
Urine output < 150 mL / 8 h
(Measures in the period 24- 48 h)
Total hours of i.v. vasoactive drugs Logit =
Logit = Sum ( values * beta) + age * 0.042383 + Hours of ventilation * 0.021409 + Hours of drugs* 0.017262 - 5.8601
Predicted death rate =
(eLogit) / (1 + eLogit)
Total hours of mechanical ventilation
Age
Predicted Death Rate :

 

Ref : Lemeshow S et al. Refining intensive care unit outcome prediction by using changing probabilities of mortality. Crit Care Med. 1988;16:470-477  

Patients excluded :

Coronary care
Cardiac surgery
Burn patients
Age < 14 years

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Eyes Open Verbal Motor
Spontaneous
To sSpeech
To pain
Absent
 		Converses / Oriented
Converses / Disoriented
Inappropriate
Incomprehensible
Absent 		Obeys
Localizes pain
Withdraws (flexion)
Decorticate (flexion) rigidity
Decerebrate(extension) rigidity
Absent

Glasgow=

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