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The SCORTEN Scale is a severity-of-illness scale with which the severity of certain bullous conditions can be systematically determined. It was originally developed for Toxic Epidermal Necrolysis[1], but can be used with burn victims, sufferers of Stevens-Johnson Syndrome, cutaneous drug reactions, or exfoliative wounds. These conditions have in common that they compromise the integrity of the skin and/or mucous membranes.
In the SCORTEN Scale 7 independent risk factors for high mortality are systematically scored, so as to determine the mortality rate for that particular patient.
| Risk factor | 0 | 1 |
|---|---|---|
| Age | < 40 years | > 40 years |
| Associated malignancy | no | yes |
| Heart rate (beats/min) | <120 | >120 |
| Serum BUN (mg/dL) | <27 | >27 |
| Detached or compromised body surface | <10% | >10% |
| Serum bicarbonate (mEq/L) | >20 | <20 |
| Serum glucose (mg/dL) | >250 | <250 |
The more risk factors present, the higher the SCORTEN score, and the higher the mortality rate, as shown in the following table.
| No of risk factors | Mortality rate |
|---|---|
| 0-1 | 3,2% |
| 2 | 12,1% |
| 3 | 35,3% |
| 4 | 58,3% |
| 5 or more | >90% |
See also
References
- ^ Bastuji-Garin S, Fouchard N, Bertocchi M, et al. (Aug 2000). SCORTEN: a severity-of-illness score for toxic epidermal necrolysis. J Invest Dermatol, p. 149-53.
Wikipedia content modification information:
- This page was last modified on 2 September 2008, at 14:47.
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