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Prognostic score in acute meningococcemia.

EMPARANZA, JOSE I. MD; ALDAMIZ-ECHEVARRIA, LUIS MD; PEREZ-YARZA, EDUARDO G. MD; LARRANAGA, PEDRO MSc; JIMINEZ, JOSE L. MSc; LABIANO, MAITE MD; OZCOIDI, IRENE MD
Critical Care Medicine: February 1988
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A prognostic score for children with acute meningococcemia is proposed. We reviewed 176 consecutive patients with acute meningococcemia with ten fatalities admitted to our pediatric ICU in the last 3 yr. The score was obtained from patients in shock, using a stepwise linear discriminant analysis of 18 clinical and laboratory variables on admission. Nine variables showed a significant discriminant power in predicting survival and death: coma, base excess, platelets, glucose, temperature, WBC, sex, purpura, and CSF. The score predicted survival in 100% and death in 91%. The predictive values were significantly better than evaluation by the frequencies of the usual clinical and laboratory variables.

(C) Williams & Wilkins 1988. All Rights Reserved.