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Ressources et utilitaires

Scoring systems for ICU and surgical patients:

ODIN (Organ Dysfunctions and / or INfection) 

Dysfunctions	Variables	Values (1 if yes, 0 otherwise)	Beta	Points
Respiratory	PaO2 < 60mmHg (FiO2=0,21) or: Need for ventilatory support	Yes No
Cardiovascular (in the absence of hypovolemia with CVP< 5 mmHg)	Systolic Arterial Pressure < 90 mmHg with signs of peripheral hypoperfusion or : Continuous infusion of vasopressor or inotropic agent to maintain SBP > 90 mmHg	Yes No
Renal (excluding chronic dialysis)	Serum creatinine > 300 micromol /L or : Urine output < 500mL/24 h or <180 mL/8 h or : Need for hemodialysis or peritoneal dialysis	Yes No
Neurologic	Glasgow < 6 (in absence of sedation at any time in the day) or : Sudden onset of confusion or psychosis	Yes No
Hepatic	Serum bilirubin > 100 micromol /L or : Alkalines phosphatases > 3 x N	Yes No
Hematologic	Hematocrit < = 20% or: WBC < 2.000 /mm3 or : Platelet Count < 40.000 /mm3	Yes No
Infection (with clinical evidence of infection)	2 positive blood cultures or : Presence of gross pus in a closed space or : Source of the infection determined during hospitalization or at autopsy in case of death within the 24 h	Yes No
(Score is recorded within the first 24 hours of admission)			Predicted Death Rate : Logit = -3.59 + Sum (values*beta) Predicted death rate = e(Logit) / (1 + e (Logit))	ODIN : ODIN = Sum (points)

Ref : Fagon JY et al. Characterization of intensive care unit patients using a model based on the presence or absence of organ dysfunctions and/or infection : the ODIN model. Intensive Care Med. 1993;19:137-44

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