Category:ALERT Scale

Medical Outcome Strafitication and Triage" (MOST).

A locally tested and validated risk stratification assessment score which is made at the time that a Medicine Service Physician accepts a patient to the Medicine Service.

• Started January 1, 2007.

• Consists of are 9 elements

Nine Elements of MOST score

1. Charlson Comorbids (CCI) Comorbid Diagnosis
2. Age (Date of Birth)
3. Sex
4. Katz - Activities of Daily Living ( ADL)

Physiological variable:

• 1. Glasgow Coma Scale (GSC)
  2. AP Sys BP Field (SBP)
  3. Respiratory Rate ( RR)
  4. Heart Rate ( HR)
  5. White Blood Count ( WBC)

The timing of MOST score assessment

1. When a patient is admitted FROM the EMERGENCY DEPT, the MOST assessment is done using values closest to the time that the “decision to accept to medicine service” was made.
2. When patients move BETWEEN WARDS or FROM an ICU to a medicine ward the MOST assessment is made using values from the closest time of discharge from the sending service.

• *Dr. Dan Roberts

__TOstryzniuk 20:35, 24 November 2008 (CST)

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