TRIOS

(Three days Recalibrated ICU Outcome Score)

Variables (Help)

Value : 1 if yes, 0 otherwise (except for LODS and SAPS II admission)

Beta

Transfer from ward

Chronic illness

SAPS II 2-SAPS II 3 alteration

LODS 2-LODS 3 alteration

LODS on admission

0.1536

SAPS II on admission

0.0388

Predicted death rate

... .... . . .

Logit =
Logit = Sum ( values * beta) - 4.44
Predicted death rate =e^(Logit) /(1+e^(Logit))

SAPS II calculation LODS calculation

Ref : Timsit JF et al. Accuracy of a composite score using daily SAPS II and LOD scores for predicting hospital mortality in ICU patients hospitalized for more than 72 h. Intensive Care Med. 2001;27:1012-1021.

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

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Cohort study was conducted within medical and surgical ICUs.
All patients were over of 16 years of age.
The TRIO score is valid only for patients in ICU for at least 4 days.

Transfert from ward : was defined as an acute-bed-hospital stay of more than 24 hours before ICU admission.

The chronic health status : was assessed using APACHE II classification : presence of one or more chronic illness.

Liver insufficiency

Cardiovascular
Respiratory
Renal

Immuno-depression

Biopsy proven cirrhosis
Documented portal hypertension,
Episodes of past upper GI bleeding attributed to portal hypertension
Prior episodes of hepatic failure / encephalopathy / coma.
NYHA Class IV
Chronic restrictive, obstructive or vascular disease resulting in severe exercice restriction, i.e. unable to climb stairs or perform household duties.
Documented chronic hypoxia, hypercapnia, secondary polycythemia , severe pulmonary hypertension (> 40 mmHg), or respirator dependency.
Receiving chronic dialysis
The patient has received therapy that suppresses resistance to infection e.g. immuno-suppression, chemotherapy, radiation, long term or recent hight dose steroids, or has a disease that is sufficiently advanced to suppress resistance to infection, e.g. leukemia, lymphoma, AIDS.

SAPS II 2-SAPS II 3 alteration and LODS 2-LODS 3 alteration:

SAPS II 2 and LODS 2 are SAPS II and LODS measured at day 2.
SAPS II 3 and LODS 3 are SAPS II and LODS measured at day 3.
Alteration of severity scores take the value "1" when score increases and the value "0" otherwise.

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Variables (Help)	Value : 1 if yes, 0 otherwise (except for LODS and SAPS II admission)	Beta
Transfer from ward
Chronic illness
SAPS II 2-SAPS II 3 alteration
LODS 2-LODS 3 alteration
LODS on admission		0.1536
SAPS II on admission		0.0388
Predicted death rate ... .... . . .		Logit = Logit = Sum ( values * beta) - 4.44 Predicted death rate =e^(Logit) /(1+e^(Logit))

Liver insufficiency	Cardiovascular	Respiratory	Renal	Immuno-depression
Biopsy proven cirrhosis Documented portal hypertension, Episodes of past upper GI bleeding attributed to portal hypertension Prior episodes of hepatic failure / encephalopathy / coma.	NYHA Class IV	Chronic restrictive, obstructive or vascular disease resulting in severe exercice restriction, i.e. unable to climb stairs or perform household duties. Documented chronic hypoxia, hypercapnia, secondary polycythemia , severe pulmonary hypertension (> 40 mmHg), or respirator dependency.	Receiving chronic dialysis	The patient has received therapy that suppresses resistance to infection e.g. immuno-suppression, chemotherapy, radiation, long term or recent hight dose steroids, or has a disease that is sufficiently advanced to suppress resistance to infection, e.g. leukemia, lymphoma, AIDS.