MPM For Cancer Patients

(Mortality Probability Model)

Variables (Help)

Value (1 if yes, 0 otherwise)

Beta

CPR before admission

Intubated at admission

Intracranial mass effect

Allogeneic BMT

Evidence of disease progression

Zubrod performance scale

Glasgow < or = 5 (Help)

B.U.N. > 50 mg / dL

Prothrombin Time > 15 sec

Bilirubin > or= 2 mg / dL (34.2 µmol/L)

Albumin < 2.5 g / dL

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.

  

 Web page by : Jean-Yves Marandon Centre Chirurgical Marie Lannelongue (France) 

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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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