RAPID

Q: The RAPID score is developed for risk stratification in? - select one

A) pericardial effusion

B) pleural effusion 

Answer: B

Generally, the long-term survival of patients with parapneumonic effusion and empyema is good if therapy is prompt.

The RAPID score is developed for risk stratification in pleural infections. RAPID stands for:

• Renal function (based on BUN)
• Age
• Purulence (yes or no)
• Infection source (community vs hospital-acquired)
• Dietary factors (based on serum albumin)

0 to 2 points: Low risk; 1.5% 3-month mortality

3 to 4 points: Medium risk; 17.8% 3-month mortality

5 to 7 points: High risk; 47.8% 3-month mortality

The score can be found on any internet search engine

References:

1. White HD, Henry C, Stock EM, et al. Predicting Long-Term Outcomes in Pleural Infections. RAPID Score for Risk Stratification. Ann Am Thorac Soc 2015; 12:1310.

2. Rahman NM, Kahan BC, Miller RF, et al. A clinical score (RAPID) to identify those at risk for poor outcome at presentation in patients with pleural infection. Chest 2014; 145:848.