Formula Suggestions

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Agregar fórmulas

Sería bueno que pudieran agregar más formulas a la aplicació, una de ellas la Pediatric Early Warning Score (PEWS)

3 votes

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Truelove- witts

Fórmula para clasificación de severidad para colitis ulcerosa

3 votes

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Insuficiencia cardíaca

Incluir clasificación de Boston

3 votes

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Nutrición Parenteral

Herramienta práctica para el Cálculo Nutricional en pacientes hospitalizados. Tanto para Nutrición Parcial Periférica como Nutrición Parenteral Total.

3 votes

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Palliative performance status

3 votes

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Cisne

Clinical Index os Stable Febrile Neutropenia. A well studied score that helps with the outpatient management of febrile neutropenia.

3 votes

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Score gravedad Colitis ulcerosa

Score Trulove modificado para evaluar gravedad crisis colitis ulcerosa

3 votes

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Please add Rockwood scores

Please add Rockwood scores (for frailty)

3 votes

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YEARS-Algorithm

3 votes

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ASGE
American Society of Gastrointestinal Endoscopy
A proposed strategy to assign risk of choledocholithiasis in patients with symptomatic cholelithiasis based on clinical predictors

Definition. Symbol

High quality (++++)
Further research
is very unlikely
to change our
confidence in the
estimate of effect.
Moderate quality. (+++)
Further research
is likely to have an important
impact on our confidence
in the estimate of effect
and may change the estimate.

Low quality. (++)
Further research is very likely to

have an important
impact on our confidence
in the estimate of effect
and is likely to change the estimate

Very low quality. (++)

Any estimate of effect is very
uncertain.

Predictors of choledocholithiasis13,14,29,31,32 Very strong

CBD stone on transabdominal US Clinical ascending cholangitis Bilirubin O4 mg/dL
Strong
Dilated CBD on US (O6 mm with gallbladder in situ)
Bilirubin level 1.8-4 mg/dL Moderate
Abnormal liver biochemical test other than bilirubin
Age older than 55 y
Clinical gallstone pancreatitis
American Society of Gastrointestinal Endoscopy
A proposed strategy to assign risk of choledocholithiasis in patients with symptomatic cholelithiasis based on clinical predictors

Definition. Symbol

High quality (++++)
Further research
is very unlikely
to change our
confidence in the
estimate of effect.
Moderate quality. (+++)
Further research
is likely to have an important
impact on our confidence
in the estimate of effect
and may change the estimate.

Low quality. (++)
Further research is very likely to

have an important
impact on our confidence
in the estimate of effect
and is likely to change the estimate

Very low quality. (++)

Any estimate…
3 votes

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Functional Assessment Staging Test

Is a validated measurement tool for a practitioner to obtain an idea about the course of Alzheimer’s Dementia. Also provides duration of function and MMSE comparison.

3 votes

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IPSET-thrombosis score

3 votes

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Riesgo de caídas

Las caídas representan la segunda causa de muerte en todo el mundo por lesiones accidentales o no intencionales. Se calcula que anualmente se producen 37,3 millones de caídas que necesitarán atención médica, resultando mortales en el 8,8% de los casos.

Las causas de las caídas pueden ser muy diversas y estar relacionadas con:

Alteraciones del equilibrio.
Problemas en la marcha.
Pérdida de fuerza muscular.
Trastornos cognitivos.
Alteraciones de la visión.
Padecer determinadas enfermedades crónicas.
Seguir un tratamiento con psicótropos.

O bien a aspectos relacionados con las condiciones del entorno, como:

Suelos resbaladizos.
Iluminación insuficiente.
Superficies irregulares.
Calzado y ropa inapropiados.
No disponer de ayudas para caminar y desplazarse.
Barreras arquitectónicas, etc.

Existen diferentes escalas que permiten evaluar el riesgo de caídas de una persona atendiendo a distintos criterios. Este es el caso de la escala de Downton, que se utiliza para evaluar el riesgo que presenta una persona de sufrir una caída con el fin de, en caso necesario, poder implementar medidas preventivas encaminadas a evitar nuevas caídas.

Esta escala tiene en cuenta si ha habido o no caídas previas, las causas que la han producido o los factores de riesgo que presenta en este sentido cada paciente y la edad, asignando a cada punto un valor de 0 ó 1. Cuando el resultado de la escala es de tres o más puntos se considera que el paciente tiene un alto riesgo de sufrir una caída.

Entre los factores que se analizan figuran los siguientes:

Caídas previas: Sí (1).
- No (0)
Medicación:
- Ninguna (0).
- Tranquilizantes o sedantes (1).
- Diuréticos (1).
- Hipotensores no diuréticos (1).
- Antiparkinsonianos (1).
- Antidepresivos (1).
- Otros medicamentos (1).
Déficit sensoriales:Ninguno (0).
- Alteraciones de la vista (1).
- Alteraciones auditivas (1).
- Alteraciones de las extremidades causadas, por ejemplo, por haber sufrido un ictus, una enfermedad neurológica, etc. (1).
Estado mental:
- Orientado (0).
- Confuso (1).
Deambulación:
- Normal (0).
- Segura con ayuda (1).
- Insegura con o sin ayuda (1).
- Imposible (1)

Una vez realizada la evaluación del riesgo de caídas mediante la escala de Downton existen protocolos de actuación que contemplan la asignación del paciente a un grupo de bajo o alto riesgo y la adopción de medidas preventivas básicas en el primer caso y de otras específicas en el segundo, en función de los factores de riesgo que presente. Además, se realiza también la educación del propio paciente, de sus familiares o de la persona que actúa como cuidadora para que asegure el seguimiento de estas medidas.

También se deben notificar las caídas que se puedan producir y se debe proceder a la reevaluación del paciente en el caso de que se haya producido una caída o de se produzcan cambios clínicos relacionados con su enfermedad.

Las caídas representan la segunda causa de muerte en todo el mundo por lesiones accidentales o no intencionales. Se calcula que anualmente se producen 37,3 millones de caídas que necesitarán atención médica, resultando mortales en el 8,8% de los casos.

Las causas de las caídas pueden ser muy diversas y estar relacionadas con:

Alteraciones del equilibrio.
Problemas en la marcha.
Pérdida de fuerza muscular.
Trastornos cognitivos.
Alteraciones de la visión.
Padecer determinadas enfermedades crónicas.
Seguir un tratamiento con psicótropos.

O bien a aspectos relacionados con las condiciones del entorno, como:

Suelos resbaladizos.
Iluminación insuficiente.
Superficies irregulares.
Calzado y ropa inapropiados.…

3 votes

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Irox

Formula para posibilidad de insuficiencia respiratoria

3 votes

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EHMRG Score

Emergency heart failure mortality Risk grade

3 votes

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McMahon score

For rhabdomyolysis

3 votes

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Escala bierman, pierson y tal modificada

Evaluación de dificultad respiratoria en pediatría

3 votes

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MEESSI-AHF

Podrían agregar la escala MEESSI-AHF

3 votes

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ABG and VBG with detailed analysis

With the current ABG Analyzer, the formula give an end result conclusion of the acid base analysis, metabolic and respiratory, and the anion gap.

It would be very helpful to give step by step approach following this conclusion. As per the Americal Thoracic Society link here
https://www.thoracic.org/professionals/clinical-resources/critical-care/clinical-education/abgs.php

These details will provide great picture on the compensation expected, and the type of the anion gap. It would be even greater if you add these tables with the differential of each of the results.

Example
Respiratory Acidosis (acute
Concomitant metabolic acidosis
Normal anion is elevated by 3

The Expected metabolic compensation is 3.4
The osmolar gap is 10
The ratio of the anion gap (delta AG) is 4

This combination suggest the following DDx: List

This would be very helpful in my experience and would spare me a lot of time looking for all these equation. It will add a comprehensive assessment of all these values and give a summary of results, which will easily guide diagnosis and management of these patients.

I also encourage to add the option of selecting if this an arterial / venous or mixed gas, as in many situations we assess VBG only with a reliable results for the acid base balance.

Thank you, and I don't mind getting contacted regarding the above
Zac (Australia)

With the current ABG Analyzer, the formula give an end result conclusion of the acid base analysis, metabolic and respiratory, and the anion gap.

It would be very helpful to give step by step approach following this conclusion. As per the Americal Thoracic Society link here
https://www.thoracic.org/professionals/clinical-resources/critical-care/clinical-education/abgs.php

These details will provide great picture on the compensation expected, and the type of the anion gap. It would be even greater if you add these tables with the differential of each of the results.

Example
Respiratory Acidosis (acute
Concomitant metabolic acidosis
Normal anion is elevated by 3

The Expected metabolic compensation is…

3 votes

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Escala Meessi AHF

Por favor agregar escala cardiológica de insuficiencia cardíaca aguda

3 votes

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