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Score of Goodacre et al for Predicting Mortality of a Patient Following an Emergency Medical Admission

Purpose: To evaluate an emergency medical patient admitted to the hospital using the score of Goodacre et al.

Description

Goodacre et al developed a simple score for predicting mortality for an emergency medical patient admitted to the hospital. This is based on a subset of the RAPS and REMS scoring systems. The authors are from the Medical Care Research Unit at the University of Sheffield in England.


Patient selection: emergency medical patient admitted to the hospital

 

Parameters:

(1) age

(2) oxygen saturation

(3) Glasgow Coma Score (GCS)

 

Parameter

Finding

Points

age in years

< 45 years of age

0

 

45 - 54 years

2

 

55 - 64 years

3

 

65 - 74 years

5

 

> 74 years

6

peripheral oxygen saturation

< 75%

4

 

75 - 85%

3

 

86-89%

1

 

> 89%

0

Glasgow coma score

3 or 4

4

 

5, 6 or 7

3

 

8, 9 or 10

2

 

11, 12 or 13

1

 

14 or 15

0

 

total score =

= SUM(points for all 3 parameters)

 

Interpretation:

• minimum score: 0

• maximum score: 14

• The higher the score the greater the risk of in-hospital mortality.

• The authors did not report the cutoff used for their ROC curve analysis.

 

Performance:

• The area under the ROC curve was 0.81.

• The sensitivity and specificity were not reported.


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Specialty

Objective

ICD-10