|
Overview :
Jaimes et al developed a score for predicting mortality in
patients who present to the Emergency Department with suspected sepsis. This can
help identify patients who may benefit from more aggressive management. The
authors are from Universidad de Antioquia in Medellin and Fundacion Santa Fe de Bogota in
Bogata, Columbia.
Parameters:
(1) presence of general systemic (comorbid) disease
(2) presence of systemic immunosuppressive disease
(3) respiratory rate
(4) Glasgow coma score (GCS)
(5) body temperature in °C
(6) shock index (SI, see Chapter 06, section 06.01.01)
|
Parameter |
Finding |
Points |
|
concurrent disease (general systemic or
immunosuppression) |
one or both present |
2 |
|
|
neither present |
0 |
|
respiratory rate |
< 24 breaths per minute |
0 |
|
|
24 - 33 breaths per minute |
1 |
|
|
>= 34 breaths per minute |
3 |
|
Glasgow coma score |
>= 12 |
0 |
|
|
< 12 |
3 |
|
body temperature |
>= 38°C |
0 |
|
|
< 38°C |
2 |
|
shock index |
< 1.5 |
0 |
|
|
>= 1.5 |
2 |
total score =
= SUM(points for all of the parameters)
Interpretation:
• minimum score: 0
• maximum score: 12 (no one in study had a score of 11 or
12)
• The higher the score the greater the risk of mortality.
|
Total Score |
Mortality
Rate |
|
0 or 1 |
8% |
|
2 |
12% |
|
3 |
18% |
|
4 |
28% |
|
5 |
34% |
|
6 |
38% |
|
7 |
48% |
|
8 |
68% |
|
9 to 12 |
100% |
approximated from Figure 1, page R154
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