|
MASCC Index Score
for Identifying Low-Risk Febrile
Neutropenic Cancer Patients
Scoring system
for risk of complications among
febrile neutropenic patients, based
on the Multinational Association for
Supportive Care in Cancer (MASCC)
predictive model.
|
Characteristic |
Point
score |
|
Burden of
illness
*No or mild
symptoms
*Moderate
symptoms |
5
3 |
|
No
hypotension |
5 |
|
No chronic
obstructive pulmonary disease
|
4 |
|
Solid tumor
or no previous fungal infection
in hematologic tumor
|
4 |
|
Outpatient
status |
3 |
|
No
dehydration |
3 |
|
Aged <60
years |
2 |
The maximum value
in this system is 26, and a score of
<21 predicts a <5% risk for
severe complications and a very low
mortality (<1%) in febrile
neutropenic patients.
Related
Criteria
References:
-
Klastersky J. Management
of fever in neutropenic
patients with different
risks of complications.
Clin Infect Dis. 2004
Jul 15;39 Suppl 1:S32-7.
[Medline]
-
Antoniadou A,
Giamarellou H. Fever of
unknown origin in
febrile leukopenia.
Infect Dis Clin North
Am. 2007
Dec;21(4):1055-90.
[Medline]
|