SCORTEN_scale_guideline v.1
Evaluates the severity of certain skin conditions, from toxic epidermal necrolysis to burns or Stevens-Johnson Syndrome.
To evaluate the severity of certain skin conditions, from toxic epidermal necrolysis to burns or Stevens-Johnson Syndrome.
The SCORTEN scale consists of 7 independent risk factors for high mortality, the presence of which is scored with 1 point for each present and interpreted as follows: Age ≥40 years Heart rate ≥120 beats per min Cancer/hematologic malignancy BSA detached ≥10% (at day 1) Serum BUN >10 mmol/L Serum bicarbonate <20 mmol/L Serum glucose >14 mmol/L No of risk factors and Mortality Rate 0 or 1: 3.2% 2: 12.1% 3: 35.3% 4: 58.3% 5 or more: >90%
Bastuji-Garin S, Fouchard N, Bertocchi M, Roujeau JC, Revuz J, Wolkenstein P. SCORTEN: a severity-of-illness score for toxic epidermal necrolysis. J Invest Dermatol. 2000 Aug;115(2):149-53. doi: 10.1046/j.1523-1747.2000.00061.x. PMID: 10951229. Zhu QY, Ma L, Luo XQ, Huang HY. Toxic epidermal necrolysis: performance of SCORTEN and the score-based comparison of the efficacy of corticosteroid therapy and intravenous immunoglobulin combined therapy in China. J Burn Care Res. 2012 Nov-Dec;33(6):e295-308. doi: 10.1097/BCR.0b013e318254d2ec. PMID: 22955159. Seecof OM, Liantonio J. Prognostication Using SCORTEN Severity of Illness Score in Patients With Stevens Johnson Syndrome and Toxic Epidermal Necrolysis. J Pain Symptom Manage. 2019 Jan;57(1):e8-e9. doi: 10.1016/j.jpainsymman.2018.09.019. Epub 2018 Sep 29. PMID: 30273718.
OBSERVATION.scorten.v0, EVALUATION.scorten_assessment.v0
