🩸 DKA Mortality Prediction Model (DKA-MPM)
UseWhen to use: adults admitted with DKA when discussing severity after early treatment data are available.
Strata0–14 low, 15–18 intermediate, 19–25 very high mortality in derivation. Limited external validation.
LimitsWhen not to use: as the only ICU triage rule in place of modern DKA p… · Pitfall: scoring before 24 h data exist. · Prefer APACHE/SOFA for general ICU severity.
SourceEfstathiou SP, et al. Clin Endocrinol (Oxf) 2002
This-shift next steps
After scoring: open the scene pack, peer scores, and the matching pathway. Local reference — no HIS write.
Paste the link in Slack, Teams, X, or LinkedIn — the preview image comes from this page’s Open Graph card.
Methodology · worked example, guidelines & full notes
Published Efstathiou weights.
When to use
When to use: adults admitted with DKA when discussing severity after early treatment data are available.
How it works
SCD (6) + pH<7.0 (4) at presentation; insulin >50 U/12 h (4) + glucose >300 at 12 h (4); depressed mentation (4) + fever (3) at 24 h. 0–25.
Key points
- Published Efstathiou weights.
- 0–25 total.
- Next: anion gap / bicarbonate / local DKA pathway.
References
Worked calculation
The values below come from this tool's own example placeholders and are computed server-side with the formula shown on this page, so the arithmetic can be checked quickly. It demonstrates how to substitute values only — it is not clinical advice and not a real case.
| At presentation: severe coexisting disease (immunosuppression, prior MI, COPD, cirrhosis, CHF, and/or prior stroke) | No (0) |
|---|---|
| At presentation: arterial pH < 7.0 | No (0) |
| At 12 h: > 50 units regular insulin required in first 12 h | No (0) |
| At 12 h: serum glucose > 300 mg/dL (16.7 mmol/L) | No (0) |
| At 24 h: depressed mental status | No (0) |
| At 24 h: fever (axillary ≥ 38 °C / 100.4 °F) | No (0) |
→DKA-MPM0/25
- Band：Low mortality band in derivation (~0.9%)
- Cutoffs：0–14 low · 15–18 intermediate · 19–25 high
| At presentation: severe coexisting disease (immunosuppression, prior MI, COPD, cirrhosis, CHF, and/or prior stroke) | Yes (6) |
|---|---|
| At presentation: arterial pH < 7.0 | Yes (4) |
| At 12 h: > 50 units regular insulin required in first 12 h | Yes (4) |
| At 12 h: serum glucose > 300 mg/dL (16.7 mmol/L) | Yes (4) |
| At 24 h: depressed mental status | Yes (4) |
| At 24 h: fever (axillary ≥ 38 °C / 100.4 °F) | Yes (3) |
→DKA-MPM25/25
- Band：Very high band in derivation (~93%)
- Cutoffs：0–14 low · 15–18 intermediate · 19–25 high
Verification & sources · governance
FAQ
Frequently asked questions
- Does DKA Mortality Prediction Model (DKA-MPM) upload patient data? Where is it calculated?
- Calculation runs locally in the browser; inputs and results are not uploaded. For licensed clinicians only; interpret with history, investigations and local protocols — not a diagnosis or prescription.
- How is DKA Mortality Prediction Model (DKA-MPM) calculated in practice? Can you show a worked example?
- Inputs: At presentation: severe coexisting disease (immunosuppression, prior MI, COPD, cirrhosis, CHF, and/or prior stroke) No (0), At presentation: arterial pH < 7.0 No (0), At 12 h: > 50 units regular insulin required in first 12 h No (0), At 12 h: serum glucose > 300 mg/dL (16.7 mmol/L) No (0), At 24 h: depressed mental status No (0), At 24 h: fever (axillary ≥ 38 °C / 100.4 °F) No (0) → Result: DKA-MPM 0 /25（Band: Low mortality band in derivation (~0.9%), Cutoffs: 0–14 low · 15–18 intermediate · 19–25 high） Inputs: At presentation: severe coexisting disease (immunosuppression, prior MI, COPD, cirrhosis, CHF, and/or prior stroke) Yes (6), At presentation: arterial pH < 7.0 Yes (4), At 12 h: > 50 units regular insulin required in first 12 h Yes (4), At 12 h: serum glucose > 300 mg/dL (16.7 mmol/L) Yes (4), At 24 h: depressed mental status Yes (4), At 24 h: fever (axillary ≥ 38 °C / 100.4 °F) Yes (3) → Result: DKA-MPM 25 /25（Band: Very high band in derivation (~93%), Cutoffs: 0–14 low · 15–18 intermediate · 19–25 high）