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Scoring Systems - Coggle Diagram
Scoring Systems
SOFA (2=10% mortality)
CVS (MAP)
Liver (Bili)
GCS
Coag (Plts)
PaO2/FiO2
Kidneys (Cr)
qSOFA (2 or more = greater risk of death)
RR (>22)
GCS (<15)
SBP (<100)
SIRS (2 or more of)
HR >90
RR>20 or PaCO2<4.3
Temp <36 or >38
WCC <4x10^9/l or >12x10^9/l
APACHE-2
12 variables
GCS, HCt, temp, MAP, HR, RR, pH, PaO2, K+, Na+, WCC
Worst of each in last 24h
Goldman Cardiac Risk (in non cardiac surgery)
Components
Hx of cerebrovascular disease
IDDM
Hx of CCF
Chronic renal failure (cr >117)
Hx of IHD
High risk surgery (intraperitoneal, intrathoracic or aortic)
Score
2 or more 6.6% cardiac complications
3 or more 11% cardiac complication
Liver
Kings Criteria Liver Transplant (PCM)
Cr > 300umol/l
pH <7.3 (or <7.25 post NAC)
Grade 3 or 4 encephalopathy
INR > 6.5
Child's Pugh (cirrhosis)
INR
Ascites
Albumin
Encephalopathy
Bilirubin
Pancreatitis
BISAP
Impaired mental status
2 or mor SIRS criteria
Urea >8.82 mmol/L
Pleural effusions
Age > 60
Within 24h
2 predicts necrosis & organ failure, 3 mortality