Hartley et al reported scores for evaluating patients infected with Ebola virus. One score is used at triage and a second is used thereafter. The authors are from GOAL Global (Dublin), University of Lausanne and Institute of Social and Preventive Medicine in Lausanne.
Patient selection: patient presenting with Ebola
Parameters:
(1) age in years
(2) hemorrhage
(3) disorientation
(4) days spent in Ebola treatment center (ETC)
Parameter |
Finding |
Points |
age in years |
< 5 years |
4 |
|
5 to 25 years |
0 |
|
> 25 years |
4 |
hemorrhage |
no |
0 |
|
yes |
6 |
disorientation |
no |
0 |
|
yes |
10 |
number of days |
|
-1 * (number of days |
total score =
= SUM(points for all of the parameters)
Interpretation:
• minimum score: <= -14
• maximum score: 24
Total Score |
Risk |
<= -6 |
low |
-5 to 3 |
medium |
>= 4 |
high |
Total Score |
Mortality Rate |
<= -10 |
0% |
-8 |
1% |
-6 |
3% |
-4 |
9% |
-2 |
22% |
0 |
48% |
2 |
72% |
4 |
89% |
6 |
96% |
8 |
98% |
10 |
99% |
>= 12 |
100% |
Performance:
• The area under the ROC curve is 0.98.
Specialty: Infectious Diseases