Otolaryngology Book

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SCORTEN Score

Aka: SCORTEN Score
  1. See Also
    1. Erythema Multiforme Major
    2. Toxic Epidermal Necrolysis
    3. Erythema Multiforme Causes
    4. Erythema Multiforme Differential Diagnosis
    5. Erythema Multiforme Minor
  2. Indications
    1. Predicts mortality in Stevens-Johnson Syndrome (or Erythema Multiforme Major) or Toxic Epidermal Necrolysis
    2. Directs management of SJS and TEN
  3. 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)
  4. 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%
  5. References
    1. Trent (2004) Arch Dermatol 140(7): 890-2 +PMID:15262712 [PubMed]

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