Obstetrical Disseminated Intravascular Coagulation (DIC) Score of Kobayashi: Subscore for Clinical Symptoms

Description

Kobayashi reported a score for patients with obstetrical disseminated intravascular coagulation (DIC). This is composed of several parts including the clinical symptoms. The author is from Hamamatsu Medical Center in Shizuoka, Japan.

Patient selection: pregnant woman

Parameters:

(1) urine output in mL per hour (marker for acute renal failure)

(2) acute respiratory failure (excluding amniotic fluid embolism)

(3) heart failure

(4) hepatic failure

(5) CNS failure

(6) gastrointestinal failure

(7) other severe organ failure

(8) hemorrhagic diathesis (macroscopic hematuria, melena, purpura, bleeding, etc)

(9) pulse rate

(10) blood pressure or hypotension

(11) cold sweat

(12) pallor

Parameter	Finding	Points
urine output	> 20 mL per hour	0
	5 to 20 mL per hour	3
	< 5 mL per hour	4
acute respiratory failure	due to amniotic fluid embolism	0
	artificial ventilation or assisted ventilation	4
	supplemental oxygen	1
	other or none	0
heart failure	no	0
	yes	4
hepatic failure	no	0
	yes	4
CNS failure	no	0
	yes	4
GI failure	no	0
	yes	4
other severe organ failure	no	0
	yes	4
hemorrhagic diathesis	present	4
	absent	0
pulse rate	< 100 beats per minute	0
	>= 100 beats per minute	1
hypotension	<= 90 mm Hg	1
	reduction >= 40%	1
	other	0
cold sweat	no	0
	yes	1
pallor	no	0
	yes	1

total score =

= SUM(points for all 12 parameters)

Interpretation:

• minimum score: 0

• maximum score: 36

To read more or access our algorithms and calculators, please log in or register.

Obstetrical Disseminated Intravascular Coagulation (DIC) Score of Kobayashi: Subscore for Clinical Symptoms

Description

Specialty