DKA-MPM 酮症酸中毒死亡预测
用途适用： adults admitted with DKA when discussing severity after early treatment data are available.
分层0–14 low, 15–18 intermediate, 19–25 very high mortality in derivation. Limited external validation.
局限不适用： as the only ICU triage rule in place of modern DKA pathways. · 易错点： scoring before 24 h data exist. · Prefer APACHE/SOFA for general ICU severity.
出处Efstathiou SP, et al. Clin Endocrinol (Oxf) 2002
本班次下一步
评完分数后：进场景连算、看相邻评分、打开对应路径。本地参考，不写入 HIS。
方法学 · 公式代入、指南要点与完整说明
适用场景
适用： adults admitted with DKA when discussing severity after early treatment data are available.
需要填写的项目
- At presentation: severe coexisting disease (immunosuppression, prior MI, COPD, cirrhosis, CHF, and/or prior stroke) · 选项
- At presentation: arterial pH < 7.0 · 选项
- At 12 h: > 50 units regular insulin required in first 12 h · 选项
- At 12 h: serum glucose > 300 mg/dL (16.7 mmol/L) · 选项
- At 24 h: depressed mental status · 选项
- At 24 h: fever (axillary ≥ 38 °C / 100.4 °F) · 选项
计算方法与公式
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.
Score only after the relevant timepoints; do not invent missing 12/24 h data.
公式代入演示
下列数值取自本工具各输入项的示例值，用本页公式在服务端实际算出，供快速核对计算过程。仅演示代入方法，不构成临床建议，也不代表任何真实病例。
| At presentation: severe coexisting disease (immunosuppression, prior MI, COPD, cirrhosis, CHF, and/or prior stroke) | 否 (0) |
|---|---|
| At presentation: arterial pH < 7.0 | 否 (0) |
| At 12 h: > 50 units regular insulin required in first 12 h | 否 (0) |
| At 12 h: serum glucose > 300 mg/dL (16.7 mmol/L) | 否 (0) |
| At 24 h: depressed mental status | 否 (0) |
| At 24 h: fever (axillary ≥ 38 °C / 100.4 °F) | 否 (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) | 是 (6) |
|---|---|
| At presentation: arterial pH < 7.0 | 是 (4) |
| At 12 h: > 50 units regular insulin required in first 12 h | 是 (4) |
| At 12 h: serum glucose > 300 mg/dL (16.7 mmol/L) | 是 (4) |
| At 24 h: depressed mental status | 是 (4) |
| At 24 h: fever (axillary ≥ 38 °C / 100.4 °F) | 是 (3) |
→DKA-MPM25/25
- Band：Very high band in derivation (~93%)
- Cutoffs：0–14 low · 15–18 intermediate · 19–25 high
结果判读与分层
0–14 low, 15–18 intermediate, 19–25 very high mortality in derivation. Limited external validation.
指南要点（原创整理）
- Published Efstathiou weights.
- 0–25 total.
- 下一步： anion gap / bicarbonate / local DKA pathway.
以上为依据相应指南的关键推荐、由本站用自己的语言归纳整理（非指南原文）；完整内容请见下方官方来源。
注意事项与局限
- 不适用： as the only ICU triage rule in place of modern DKA pathways.
- 易错点： scoring before 24 h data exist.
- Prefer APACHE/SOFA for general ICU severity.
核对与出处 · 可验证治理
参考指南与出处
- Efstathiou SP, et al. Clin Endocrinol (Oxf) 2002 · 来源 ↗
指南全文版权归相应学会/期刊所有；本工具仅实现其决策算法并注明出处，全文请经上方官方来源获取。
依据文献年份见参考 · 数据集整理日 2026-10-08
常见问题
常见问题
- DKA-MPM 酮症酸中毒死亡预测的计算是否上传患者数据？在哪里计算？
- 计算在浏览器本地完成，输入与结果不上传服务器；结果仅供执业医师参考，须结合病史、检查与本机构方案判断，不构成诊断或处方依据。
- DKA-MPM 酮症酸中毒死亡预测怎么代入计算？能举个例子吗？
- 代入: At presentation: severe coexisting disease (immunosuppression, prior MI, COPD, cirrhosis, CHF, and/or prior stroke) 否 (0)、At presentation: arterial pH < 7.0 否 (0)、At 12 h: > 50 units regular insulin required in first 12 h 否 (0)、At 12 h: serum glucose > 300 mg/dL (16.7 mmol/L) 否 (0)、At 24 h: depressed mental status 否 (0)、At 24 h: fever (axillary ≥ 38 °C / 100.4 °F) 否 (0) → 结果: DKA-MPM 0 /25（Band: Low mortality band in derivation (~0.9%)、Cutoffs: 0–14 low · 15–18 intermediate · 19–25 high） 代入: At presentation: severe coexisting disease (immunosuppression, prior MI, COPD, cirrhosis, CHF, and/or prior stroke) 是 (6)、At presentation: arterial pH < 7.0 是 (4)、At 12 h: > 50 units regular insulin required in first 12 h 是 (4)、At 12 h: serum glucose > 300 mg/dL (16.7 mmol/L) 是 (4)、At 24 h: depressed mental status 是 (4)、At 24 h: fever (axillary ≥ 38 °C / 100.4 °F) 是 (3) → 结果: DKA-MPM 25 /25（Band: Very high band in derivation (~93%)、Cutoffs: 0–14 low · 15–18 intermediate · 19–25 high）
核对流程与方法学
核对与依据
本工具的公式与计算方法已在本页明示、公开可逐一核查。其公式、系数与阈值依据上方「参考指南与出处」列出的权威来源核对。想了解本站对全部临床工具的核对流程与出处覆盖情况，见 临床工具核对表与方法学 →