Kamink et al reported a scoring system for visceral leishmaniasis in immunocompetent patients in South Sudan. One score is for adults and one score is for pediatric patients. The authors are from Medecins Sans Frontieres, Vrije Universiteit Amsterdam, and Bristol Medical School University.
Patient selection: immunocompetent adult, < 19 years of age
Parameters:
(1) weakness
(2) hemoglobin in g/dL
(3) age in years
(4) jaundice
Parameter
Finding
Points
weakness
none to moderate
0
severe
2
state of collapse
5
hemoglobin
>= 9.0 g/dL
0
7.5 to 8.9 g/dL
1
6.0 to 7.4 g/dL
2
< 6 g/dL
4
age in years
< 2
4
2 to 5
2
6 to 18
0
jaundice
no
0
yes
4
total score =
= SUM(points for all of the parameters)
Interpretation:
• minimum score: 0
• maximum score: 17
• The higher the score the greater the risk of death.
Score
Mortality Rate
0
0.4 to 0.5%
1
0.7%
2
1%
3
1.8 to 2%
4
2.7 to 5%
5
4.8 to 8.6%
6
7.2 to 14.3%
7 or 8
17.8 to 36.1%
9 or 10
37.5 to 47.1%
>= 11
46 to 99%
Performance:
• The area under the ROC curve is 0.83.
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