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MDCalc is a free online medical reference for healthcare professionals that provides point-of-care clinical decision-support tools, including medical calculators, scoring systems, and algorithms. [1] MDCalc is also a mobile and web app. [ 2 ] The decision-support tools are based on published clinical research, [ 3 ] and MDCalc’s content is ...
A medical calculator is a type of medical computer software, whose purpose is to allow easy calculation of various scores and indices, presenting the user with a friendly interface that hides the complexity of the formulas. Most offer further information such as result interpretation guides and medical literature references. [1]
The Model for End-Stage Liver Disease, or MELD, is a scoring system for assessing the severity of chronic liver disease.It was initially developed to predict mortality within three months of surgery in patients who had undergone a transjugular intrahepatic portosystemic shunt (TIPS) procedure, [1] and was subsequently found to be useful in determining prognosis and prioritizing for receipt of ...
A call for an additional validation of MELD-Plus was published in November 2019 in the European Journal of Gastroenterology & Hepatology. [13]A study presented in June 2019 in Semana Digestiva [14] (Vilamoura, Portugal) demonstrated that MELD-Plus was superior to assess mortality at 180 days vs. other liver-related scores in a population admitted due to hepatic encephalopathy.
APACHE II ("Acute Physiology and Chronic Health Evaluation II") is a severity-of-disease classification system, [1] one of several ICU scoring systems.It is applied within 24 hours of admission of a patient to an intensive care unit (ICU): an integer score from 0 to 71 is computed based on several measurements; higher scores correspond to more severe disease and a higher risk of death.
50-59 years old: +1 point; 60-69 years old: +2 points; 70-79 years old: +3 points; 80 years old or more: +4 points; Scores are summed to provide a total score to predict mortality. Currently 17 categories are considered in the popular Charlson/Deyo variant, [7] instead of 19 in the original score. [8] The weights were also adapted in 2003. [9]
Vomiting (no = 0, yes = 1) Right iliac fossa (RIF) pain (no = 0, yes = 1) Rebound tenderness (none = 0, light = 1, medium = 2, strong = 3) Febrile (internal temperature ≥101.3°F or 38.5°C) (no = 0, yes = 1) Polymorphonuclear leukocytes (<70% = 0, 70-84% = 1, ≥85% = 2) White blood cell count (<10×10 9 /L = 0, 10-14.9×10 9 /L = 1, ≥15× ...
If the patient is 'low risk' using the CHA 2 DS 2-VASc score (that is, 0 in males or 1 in females), no anticoagulant therapy is recommended. In males with 1 stroke risk factor (that is, a CHA 2 DS 2 -VASc score=1), antithrombotic therapy with OAC may be considered, and people's values and preferences should be considered. [ 24 ]