Sickness Assessment (SA) of Kennedy et al for Surgical Emergency in an Older Adult

Description

Kennedy et al reported the Sickness Assessment (SA) model for evaluating an older adult with a surgical emergency. This can help to identify a patient who may require more aggressive management. The authors are from Bristol Royal Infirmary and Royal Devon and Exeter Hospital in the UK.

Patient selection: adult >= 65 years of age with surgical emergency

Parameters:

(1) systolic blood pressure on admission

(2) presence of severe chronic disease (comorbidity) or compromised immune state

(3) self-care status

Parameter	Finding	Points
systolic blood pressure	>= 100 mm Hg	0
	< 100 mm Hg	1
severe chronic disease or compromised immune status	no	0
	yes	1
self-care status	independent	0
	partially dependent	1
	totally dependent	1

where:

• Severe chronic disease includes cirrhosis, angina on minimal exertion, renal disease requiring dialysis, pulmonary disease that restricts household work.

total score =

= SUM(points for all of the parameters)

Interpretation:

• minimum score: 0

• maximum score: 3

• A score >= 1 is considered positive (high surgical risk).

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Sickness Assessment (SA) of Kennedy et al for Surgical Emergency in an Older Adult

Description

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