Scores
______
 
MEDAN RRT Score

Score

0

1

2

3

4

5

6

7

8

RRsys

< 119

>119

>151

>221

>251

>265

-

-

-

RRdia

< 42

> 42

> 47

> 49

> 64

> 83

> 117

> 121

> 126

Thromb.

< 112

>112

>202

>312

>371

>621

>770

-

-

J. Paetz: Evolving Score Neural Networks, Proc. of the 1st Indian Int. Conf. on Artificial Intelligence (IICAI 2003), Hyderabad, India

see also: An Alarm System for Death Prediction

Java code for computing the score

 

 
SOFA (Sepsis-related Organ Failure Assessment)

 

1

2

3

4

PaO2/FiO2 ( mmHg)

< 400

< 300

< 200

< 100

Thrombozyten (/mm3)

< 150000

< 100000

< 50000

< 20000

Bilirubin (mg/dl)

1.2 - 1.9

2.0 - 5.9

6.0 - 11.9

> 12.0

Hypotension

MAP < 70 mmHg

Dopamin <= 5 oder Dobutamin (jede Dosierung)

Dopamin > 5 oder Adrenalin <= 0.1 oder Noradrenalin <= 0.1

Dopamin > 15 oder Adrenalin > 0.1 oder Noradrenalin > 0.1

Clasgow Coma Score

13 - 14

10 - 12

6 - 9

< 6

Kreatinin (mg/dl)

1.2 - 1.9

2.0 - 3.4

3.5 - 4.9 oder URIN < 500ml/tag

> 5.0 oder URIN < 200ml/tag

Literatur:The SOFA score to describe organ dyfunction/failure, Vincent et al, Intensive Care Med (1996) 22:707-710

 

 
APACHE II (Teil A)  (Acute Physiology and Chronic Health Evaluation)
 

 

4

3

2

1

0

1

2

3

4

Rektaltemparatur C

>= 41

39 - 40,9

 

38 - 38,9

36 - 38,4

34 - 35,9

32 - 33,9

30 - 31,9

<= 29,9

Arterieller Mitteldruck mmHg

>= 160

130 - 159

110 - 129

 

70 - 109

 

50 - 69

 

<= 49

Herzfrequenz

>= 180

140 - 179

110 - 139

 

70 - 109

 

55 - 69

40 - 54

<= 39

Atemfrequenz

>= 50

35 - 49

 

25 - 34

12 - 24

10 - 11

6 - 9

 

<= 5

Oxygenation FiO2 >= 0,5: A-DO2 [FiO2 < 0,5: PaO2]

>= 500

350 - 499

200 - 349

 

<200 [>70]

[61 - 70]

 

[55 - 60]

[< 55]

Arterieller pH-Wert

>= 7,7

7,6 - 7,69

 

7,5 - 7,59

7,33 - 7,49

 

7,25 - 7,32

7,15 - 7,24

< 7,15

Natrium im Serum mmol/l

>= 180

160 - 179

155 - 159

150 - 154

130 - 149

 

120 - 129

111 - 119

<= 110

Kalium im Serum mmol/l

>= 7

6 - 6,9

 

5,5 - 5,9

3,5 - 5,4

3 - 3,4

2,5 - 2,9

 

< 2,5

Kreatinin mg/dl

>= 3,5

2 - 3,4

1,5 - 1,9

 

0,6 - 1,4

 

< 0,6

 

 

Hämatokrit %

>= 60

 

50 - 59,9

46 - 49,9

30 - 45,9

 

20 - 29,9

 

< 20

Leukozyten 1000/mm3

>= 40

 

20 - 39,9

15 - 19,9

3 - 14,9

 

1 - 2,9

 

< 1

Glasgow Coma Scale

15 - GCS-Punkte

 

 

 

 

 

 

 

 

HCO3-venöses Blut mmol/l (bei Fehlen der Blutgase)

>= 52

41 - 51,9

 

32 - 40,9

22 - 31,9

 

18 - 21,9

15 - 17,9

< 15

Literatur: Knaus, W.A., et al: Crit. Care ed. 13(1985) 818-829

 

 

SAPS II (Simplified Acute Physiology Score)

 

26

13

12

11

9

7

6

3

4

3

2

0

1

2

3

4

6

7

8

9

10

12

15

16

17

18

Alter

 

 

 

 

 

 

 

 

 

 

 

<40

 

 

 

 

 

40-59

 

 

 

60-69

70-74

75-79

 

>=80

Herzfrequenz

 

 

 

<40

 

 

 

 

 

 

40-69

70-119

 

 

 

120-159

 

>=160

 

 

 

 

 

 

 

 

Blutdruck,systolisch (mmHg)

 

<70

 

 

 

 

 

70-99

 

 

 

100-199

 

>=200

 

 

 

 

 

 

 

 

 

 

 

 

Temperatur (C)

 

 

 

 

 

 

 

 

 

 

 

<39

 

 

>=39

 

 

 

 

 

 

 

 

 

 

 

Sauerstoff-partialdruck (mmHg)

 

 

 

<100

100-199

 

>=200

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Urin (ml pro Tag)

 

 

 

<500

 

 

 

 

500-999

 

 

>=1000

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Harnstoff

 

 

 

 

 

 

 

 

 

 

 

<28

 

 

 

 

28-83

 

 

 

>=84

 

 

 

 

 

Leukozyten

 

 

<1.0

 

 

 

 

 

 

 

 

1.0-19.9

 

 

>=20

 

 

 

 

 

 

 

 

 

 

 

Kalium

 

 

 

 

 

 

 

 

 

<3.0

 

3.0-4.9

 

 

>=5.0

 

 

 

 

 

 

 

 

 

 

 

Natrium

 

 

 

 

 

 

 

<125

 

 

 

125-144

>=145

 

 

 

 

 

 

 

 

 

 

 

 

 

Bicarbonate

 

 

 

 

 

 

<15

 

 

15-19

 

>=20

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Bilirubin

 

 

 

 

 

 

 

 

 

 

 

<4.0

 

 

 

4.0-5.9

 

 

 

>=6.0

 

 

 

 

 

 

Glasgow Coma Score

<6

6-8

 

 

 

9-10

 

11-13

 

 

 

14-15

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Chronische Krankheiten

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Ca, Meta-stase

malig. Blut-krank-heit

 

 

 

AIDS

 

Grund der Aufnahme

 

 

 

 

 

 

 

 

 

 

 

geplante OP

 

 

 

 

med.

 

nicht geplante OP

 

 

 

 

 

 

 

Literatur: Le Gall et al., A New Simplified Acute Physiology Score (SAPS II) Based on a European/North American Multicenter Study, JAMA December 22/29, 1993-Vol 270, No.24

 

 

Multiple Organ Dysfunction Score

Organsystem

0

1

2

3

4

Lunge ( PO2 / Fi 02 )

> 300

226 - 300

151 - 225

76 - 150

<= 75

Niere (Serumkreatinin) [mikromol / l]

<= 100

101 - 200

201 - 350

351 - 500

> 500

Leber (Serumbilirubin) [mikromol / l]

<= 20

21 - 60

61 - 120

121 - 240

> 240

Herz [PAR]

<= 10.1

10.1 - 15

15.1 - 20

20.1 - 30

> 30

Thrombozytenanzahl [Thrombozyten / mikrol]

> 120

81 - 120

51 - 80

21 - 50

<= 20

Neurologie [Glasgow Come Scale]

15

13 -14

10 - 12

7 - 9

<= 6

 

 

 

 
TISS-28 (Therapeutic Intervention Scoring System)
 

Specific Interventions

 

Single specific intervention in the intensive care unit. Naso- or orotracheal intubation, introduction of pacemaker, cardioversion, endoscopies, emergency surgery in the past 24hrs, gastric lavage. Routine interventions without direct consequences ...

3

Multiple specific interventions in the intensive care unit. More than one as described obove

3

Specific interventions outside the intensive care unit. Surgery or diagnostic procedures

3

 

Basic Activities

 

Standard monitoring, Hourly vital signs, regular registration and calculation of fluid balance

3

Laboratory. Biochemical and microbiological investigations

1

Single medication i.v., i.m., s.c. and / or p.o.

2

Multiple intravenous medication. More than one drug, single shots, or continously

3

Routine dressing changes. Care and prevention of decubitus and daily dressing change

1

Frequent dressing changes. At least one time per each nursing shift and/or extensive wound care

1

Care of drains. All excpet gastric tube.

3

Literatur: Miranda et al, Simplified Therapeutic Intervention Scoring System, The TISS-28 items - Results from a multicenter study, Crit Care Med 1996 Vol.24 No.1
Anmerkungen:

PO2 / FiO2: ohne Referenz der Benutzung von mechanischer Ventilation und PEEP

Niere: Ohne Referenz von Dialyse

Herz: PAR (pressure-adjusted heart rate) = RAP (right atrial pressure) / MAP (mean arterial pressure)