ALERT Scale Calculation: Difference between revisions

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*+(0.0532 x Total [[ADL Score]]
*+(0.0532 x Total [[ADL Score]]
*-(0.1720 x [[Glasgow Coma Scale | Glasgow Coma Scale (GCS)]])
*-(0.1720 x [[Glasgow Coma Scale | Glasgow Coma Scale (GCS)]])
*+(0.0678 x age)
*+(0.0678 x [[Age]] )
*-(0.0004 x (age x age)
*-(0.0004 x (age x age)
*+(0.0175 x heart rate)
*+(0.0175 x heart rate )
*+(0.0631 x respiratory rate)
*+(0.0631 x respiratory rate )
*+(0.0289 x white blood cell count)
*+(0.0289 x white blood cell count )
*-(0.0410 x systolic blood pressure)
*-(0.0410 x systolic blood pressure )
*+(0.000121 x (systolic blood pressure x systolic blood pressure)
*+(0.000121 x (systolic blood pressure x systolic blood pressure)


Line 23: Line 23:
*'''R=exp(Y)/1 + exp(Y)'''
*'''R=exp(Y)/1 + exp(Y)'''


*Heart rate, respiratory rate, White Blood cell Count (WBC), systolic Blood Pressure (sBP) - are continuous data
*Heart rate ([[HR]]), respiratory rate ([[RR]]), White Blood cell Count ([[WBC]]), systolic Blood Pressure (sBP, [[AP Sys BP Field]]) - are continuous data


The cut-off probability for '''R''' is 0.088 . "A cut-off point of 0.088, or a predicted probability of adverse outcome of 8.8%, was used to classify patients into  two  groups;  high-risk  and  low-risk  of  adverse outcome." ([[Media:Bmjopen-2014-005501.ALERT SCALE.pdf|from publication]])
The cut-off probability for '''R''' is 0.088 . "A cut-off point of 0.088, or a predicted probability of adverse outcome of 8.8%, was used to classify patients into  two  groups;  high-risk  and  low-risk  of  adverse outcome." ([[Media:Bmjopen-2014-005501.ALERT SCALE.pdf|from publication]])

Revision as of 14:49, 30 October 2024

ALERT Scale Calculation

Binary logistic regression resulted in the following outcome model:

  • LN(R/1-R) = Y

Y =

  • -3.8390 + (0.1570 x male gender)
  • +(0.0712 x Charlson Comorbidity Index)
  • +(0.0532 x Total ADL Score
  • -(0.1720 x Glasgow Coma Scale (GCS))
  • +(0.0678 x Age )
  • -(0.0004 x (age x age)
  • +(0.0175 x heart rate )
  • +(0.0631 x respiratory rate )
  • +(0.0289 x white blood cell count )
  • -(0.0410 x systolic blood pressure )
  • +(0.000121 x (systolic blood pressure x systolic blood pressure)

Where R is the risk of bad outcome and the categorical variable gender, is coded female=0 and male=1.

How to calculate R:

  • R=exp(Y)/1 + exp(Y)
  • Heart rate (HR), respiratory rate (RR), White Blood cell Count (WBC), systolic Blood Pressure (sBP, AP Sys BP Field) - are continuous data

The cut-off probability for R is 0.088 . "A cut-off point of 0.088, or a predicted probability of adverse outcome of 8.8%, was used to classify patients into two groups; high-risk and low-risk of adverse outcome." (from publication)

Implementation

This is implemented by the Function MOST_Score in Centralized data front end.accdb.

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