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  CIP (Critical Illness Prediction) Score

 
Input
 
Age  
Respiratory Rate  
Systolic Blood Pressure  
Pulse  
Pulse Ox  
Glasgow Coma Scale  

 
Result
 
 
CIP Score  
 

 
     
 
Include literature references: Yes   No

 
  CIP Score Interpretation

 
0 to 2 points: Low risk
3 points: Moderate risk
4 to 8 points: High risk

 
 

 
Equations used
 
CIPScore = AgeFactor + RespiratoryRateFactor + SystolicBloodPressureFactor + PulseFactor + PulseOxFactor + GCSFactor

 

 
Calculation Details and Variables
  • AgeFactor is assigned values by this ordered logic:
    • If Age ≥45 yr AgeFactor = 1
    • Else AgeFactor = 0.
  • RespiratoryRateFactor is assigned values by this ordered logic:
    • If Respiratory Rate ≥36 breaths/min RespiratoryRateFactor = 2
    • Else if Respiratory Rate ≥24 breaths/min RespiratoryRateFactor = 1
    • Else if Respiratory Rate ≥12 breaths/min RespiratoryRateFactor = 0
    • Else RespiratoryRateFactor = 1.
  • SystolicBloodPressureFactor is assigned values by this ordered logic:
    • If Systolic Blood Pressure >90 mmHg SystolicBloodPressureFactor = 0
    • Else SystolicBloodPressureFactor = 1.
  • PulseFactor is assigned values by this ordered logic:
    • If Pulse ≥120 beats/min PulseFactor = 1
    • Else PulseFactor = 0.
  • PulseOxFactor is assigned values by this ordered logic:
    • If Pulse Ox ≤87 % PulseOxFactor = 1
    • Else PulseOxFactor = 0.
  • GCSFactor is assigned values by this ordered logic:
    • If Glasgow Coma Scale <8 score GCSFactor = 2
    • Else if Glasgow Coma Scale ≤14 score GCSFactor = 1
    • Else GCSFactor = 0.

 
References
  1. Seymour CW, Kahn JM, Cooke CR, et al. Prediction of critical illness during out-of-hospital emergency care. JAMA. 2010 Aug 18;304(7):747-54. PubMed ID: 20716737 PubMed Logo
  2. Lane DJ, Wunsch H, Saskin R, et al. Assessing Severity of Illness in Patients Transported to Hospital by Paramedics: External Validation of 3 Prognostic Scores. Prehosp Emerg Care. 2020 Mar-Apr;24(2):273-281. PubMed ID: 31210571 PubMed Logo
  3. Lane DJ, Wunsch H, Saskin R, et al. Screening strategies to identify sepsis in the prehospital setting: a validation study. CMAJ. 2020 Mar 9;192(10):E230-E239. PubMed ID: 32152051 PubMed Logo

 

 
Associated Logical Observation Identifiers Names and Codes [LOINC]
 
Parameter LOINC's and Suggested Units
Age 21612-7 : yr      21612-7 : yr      21612-7 : years      30525-0 : Years old      30525-0 : yr      30525-0 : years      
Respiratory Rate 9303-9 : breaths/min      9279-1 : breaths/min      76170-0 : breaths/min      19840-8 : breaths/min      
Systolic Blood Pressure 8480-6 : mmHg      
Pulse 8867-4 : beats/min      8893-0 : beats/min      8890-6 : beats/min      8889-8 : beats/min      68999-2 : beats/min      76282-3 : beats/min      69000-8 : beats/min      
Glasgow Coma Scale 9269-2 : score      

 
This material contains content from LOINC® (http://loinc.org). The LOINC table, LOINC codes, and LOINC panels and forms file are copyright © 1995-2014, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee and available at no cost under the license at http://loinc.org/terms-of-use.

 
Associated ICD10-CM Codes
 
   J96.90Respiratory failure, unspecified, unspecified whether with hypoxia or hypercapnia
   J96.00Acute respiratory failure, unspecified whether with hypoxia or hypercapnia
   A41.9Sepsis, unspecified organism
   I50.9Heart failure, unspecified
   I50.9Heart failure, unspecified
   N19Unspecified kidney failure

 
Associated ICD9-CM Codes
 
   584.9Acute renal failure nos
   586Renal failure nos
   428.9Heart failure nos
   038.9Septicemia nos
   518.81Acute respiratry failure

 
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