Cirrhosis-ICU Mortality Model (CIMM)

[php]
if ($_POST) {
$hd = $_POST[‘hd’];
$a = $_POST[‘cr’];
$b = $_POST[‘tbili’];
$c = $_POST[‘inr’];
$d = $_POST[‘vent’];

if (($a) > 4) {
$a = 4;
}

if (($hd) == 1) {
$a = 4;
}

if (($a) < 1) { $a = 1; } if (($b) < 1) { $b = 1; } if (($c) < 1) { $c = 1; } if ((empty($a)) || (empty($b)) || (empty($c))) { $result = "Fill in all variables"; } if (empty($result)) { $var1 = log($a); $var2 = 9.57*$var1; $var3 = log($b); $var4 = 3.8*$var3; $var5 = log($c); $var6 = 11.2*$var5; $var7 = $var2+$var4+$var6; $var8 = $var7+6.4; $meld = round($var8, 0); if (($meld) < 16) { $meldscore = 1; } if (($meld) > 15 AND ($meld) < 33) { $meldscore = 2; } if (($meld) > 39) {
$meldscore = 3;
}

$result = $d + $meldscore;

}
echo “Result : “;
echo $result;
echo ” *”;

}
[/php]

On Dialysis :
Creatinine :
Total Bilirubin:
INR :
Ventilated on first day ICU admission:

[pullquote]The Cirrhosis-ICU Mortality Model (CIMM) uses additional data from first day ventilation to add additional mortality risk to the MELD Score[/pullquote]

Formula :

(3.8[Ln serum bilirubin (mg/dL)] + 11.2[Ln INR] + 9.6[Ln serum creatinine (mg/dL)] + 6.4) + Additional weighting for ventilation status.

Explanation of Result :

MELD ICU 0-1 = Low Risk 7-day mortality (9-33%)
MELD ICU 2 = Intermediate Risk 7-day mortality (27-56%)
MELD ICU 3-4 = High Risk 7-day mortality (71-74%)

* Please verify all calculations prior to clinical use.