Otolaryngology Book

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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]

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