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Ressources et utilitaires

Scoring systems for ICU and surgical patients:

MPM For Cancer Patients (Mortality Probability Model) 

Variables (Help)	Value (1 if yes, 0 otherwise)	Beta
CPR before admission	Yes
Intubated at admission	Yes
Intracranial mass effect	Yes
Allogeneic BMT	Yes
Evidence of disease progression	Yes
Zubrod performance scale	Zub. 0-1 Zub. 2-3 Zub. 4
Glasgow < or = 5 (Help)	Yes
B.U.N. > 50 mg / dL	Yes
Prothrombin Time > 15 sec	Yes
Bilirubin > or= 2 mg / dL (34.2 µmol/L)	Yes
Albumin < 2.5 g / dL	Yes
S.B.P (mmHg)		-0.00688
Respiratory rate (breaths / min )		+0.03033
Platelets ( X 103)		-0.00236
Hospital days before I.C.U.		+0.21935
PaO2 (mmHg) / FI O2 Ratio		-0.00275
Predicted Death Rate		Logit = Logit = Sum ( values * beta) + 0.21935 ln( days+ 0.5) -0.43417 Predicted death rate = e(logit) / ( 1 + e (Logit) )

Ref : Groeger JS et al. Multicenter outcome study of cancer patients admitted to the Intensive Care Unit : a probability of mortality Model. J Clin Oncol 1998;16:761-70.

  

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Eyes Open	Verbal	Motor
Spontaneous To speech 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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Clinical, laboratory, and physiologic variables are obtained on critically ill cancer patients at I.C.U.admission.

Patients excluded

Age < 18 years
Burn patient
Coronary patients (primary diagnosis of myocardial infarction or "rule out" myocardial infarction with no secondary diagnosis)

Zubrod Scale

Good performance status : Zubrod 0-1
Assistance required : Zubrod 2-3
Bedridden : Zubrod 4

Values for SBP, RR, Platelets, PaO2 / FiO2 ratio are default values if missing.

 

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