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
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.

  

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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