Tuesday, September 19, 2017

Q: All of the following are the Predictive scoring systems in the intensive care unit except? 

A) Acute Physiologic and Chronic Health Evaluation (APACHE) 
B) Simplified Acute Physiologic Score (SAPS) 
C) Mortality Prediction Model (MPM0)
D) Sepsis-related (or Sequential) Organ Failure Assessment (SOFA)
E) CURB 65

Answer:  E

One imp
ortant and often misunderstood point to know regarding predictive scoring systems in ICU is that they are measures of disease severity that are used to predict outcomes (or mortality) of patient populations. They are not a great tool to predict outcomes in a single patient.

First four (choices A,B,C and D) are well validated  ICU predictive scoring systems.

CURB 65 is a  validated scoring to predict mortality in community-acquired pneumonia.

Recommended reading:

Scoring systems in the intensive care unit: A compendium-Rapsang AG, Shyam DC. Scoring systems in the intensive care unit: A compendium. Indian Journal of Critical Care Medicine :. 2014;18(4):220-228.

Link: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4033855/

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