Otolaryngology Book

//fpnotebook.com/

SCORTEN Score

Aka: SCORTEN Score
  1. Indications
    1. Predicts mortality in Stevens-Johnson Syndrome (or Erythema Multiforme Major) or Toxic Epidermal Necrolysis
    2. Directs management of SJS and TEN
  2. Criteria: Assign one point for each of the following 7 risk factors
    1. Age 40 years old or older
    2. Heart Rate 120/minute or higher
    3. Malignancy history
    4. Surface area detachment 10% or more
    5. Blood Urea Nitrogen (BUN) >28 mg/dl (>10 mmol/L)
    6. Serum bicarbonate <20 mmol/L
    7. Serum Glucose >252 mg/dl (or >14 mmol/L)
  3. Interpretation
    1. Score 0-1
      1. Mortality: 3.2%
      2. No specific management typically needed
    2. Score 2
      1. Mortality: 12.1%
      2. Threshold above which intensive care (or burn center) admission is recommended
    3. Score 3
      1. Mortality: 35.3%
    4. Score 4
      1. Mortality: 58.3%
    5. Score 5-7
      1. Mortality: >90%
  4. References
    1. Trent (2004) Arch Dermatol 140(7): 890-2 +PMID:15262712 [PubMed]

You are currently viewing the original 'fpnotebook.com\legacy' version of this website. Internet Explorer 8.0 and older will automatically be redirected to this legacy version.

If you are using a modern web browser, you may instead navigate to the newer desktop version of fpnotebook. Another, mobile version is also available which should function on both newer and older web browsers.

Please Contact Me as you run across problems with any of these versions on the website.

Navigation Tree