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January 1, 2005Blood Coagulation & Fibrinolysis

Performance and prognostic importance of a new clinical and laboratory scoring system for identifying non-overt disseminated intravascular coagulation

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Key result

A non-overt DIC score of 5 or greater was associated with a 28-day mortality rate of 78%, compared to 29% for scores below 5.

Why the study?

Does a non-overt DIC score of 5 or greater predict overt DIC and 28-day mortality in ICU patients?

Population

516 consecutive patients admitted to a university hospital intensive care unit.

Comparison

Non-overt DIC scoring template (score ≥ 5) vs Non-overt DIC score < 5

Design

Cohort

Follow-up

28 days

Authors

CTCheng Hock TohUniversity of LiverpoolCDColin DowneyLos Alamos National Laboratory

Discussion

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Implication

Non-overt DIC template feasible in ICU; hypothesis-generating for prognosis, requires prospective validation.

Study Design

Type

Cohort (n=516)

Multicenter

No

Structured PICO

Does a non-overt DIC score of 5 or greater predict overt DIC and 28-day mortality in ICU patients?

P
Population
516 consecutive patients admitted to a university hospital intensive care unit, evaluated to assess the feasibility and prognostic performance of a non-overt DIC scoring template.
E
Exposure
Non-overt DIC scoring template (score ≥ 5)
C
Comparator
Non-overt DIC score < 5
O
Outcome
Overt DIC and 28-day mortalityhard clinical

Main Result

Absolute Event Rate: 78% vs 29%

A non-overt DIC score of 5 or greater is highly prognostic for 28-day mortality in ICU patients and is recommended for diagnosing non-overt DIC.

Cite This Study

Toh et al. (2005) conducted a cohort in Non-overt disseminated intravascular coagulation (DIC) (n=516). Non-overt DIC score ≥ 5 vs. Non-overt DIC score < 5 was evaluated on 28-day mortality. A non-overt DIC score of 5 or greater was associated with a 28-day mortality rate of 78%, compared to 29% for scores below 5.

synapsesocial.com/papers/6a6ab46b47a1bfb288f2e1bahttps://doi.org/10.1097/00001721-200501000-00011
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Also Consider

Synapse has enriched 4 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Outcome of Disseminated Intravascular Coagulation in Relation to the Score when Treatment was Begun1995 · 150 citations
  2. 2The role of the endothelium in severe sepsis and multiple organ dysfunction syndrome2003 · 1,142 citations
  3. 3Biphasic transmittance waveform in the APTT coagulation assay is due to the formation of a Ca++-dependent complex of C-reactive protein with very-low–density lipoprotein and is a novel marker of impending disseminated intravascular coagulation2002 · 122 citations
  4. 4Towards Definition, Clinical and Laboratory Criteria, and a Scoring System for Disseminated Intravascular Coagulation2001 · 2,319 citations