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Crit Care Med. 1988 Feb;16(2):168-9.

Prognostic score in acute meningococcemia.

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Pediatric Intensive Care Unit, Ntra. Sra. de Aranzazu Children's Hospital, San Sebastian, Spain.


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.

[Indexed for MEDLINE]

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