CIP (Critical Illness Prediction) Score

 

Input
 

Age		mo yr
Respiratory Rate		breaths/min
Systolic Blood Pressure		Pascal atm bar cmH2O cmHg ftH2O gm/sqcm inH2O inHg kPa mbar mmHg psi torr
Pulse		beats/min
Pulse Ox		% fraction ratio
Glasgow Coma Scale		# index none number points score

 

Result
 

CIP Score		# index none number points score

 

CIP Score Interpretation

 

0 to 2 points:	Low risk
3 points:	Moderate risk
4 to 8 points:	High risk

 

 

 
Equations used
 

CIPScore = AgeFactor + RespiratoryRateFactor + SystolicBloodPressureFactor + PulseFactor + PulseOxFactor + GCSFactor

 

 

Calculation Details and Variables

• AgeFactor is assigned values by this ordered logic:
  • If Age ≥45 yr AgeFactor = 1
  • Else AgeFactor = 0.
• RespiratoryRateFactor is assigned values by this ordered logic:
  • If Respiratory Rate ≥36 breaths/min RespiratoryRateFactor = 2
  • Else if Respiratory Rate ≥24 breaths/min RespiratoryRateFactor = 1
  • Else if Respiratory Rate ≥12 breaths/min RespiratoryRateFactor = 0
  • Else RespiratoryRateFactor = 1.
• SystolicBloodPressureFactor is assigned values by this ordered logic:
  • If Systolic Blood Pressure >90 mmHg SystolicBloodPressureFactor = 0
  • Else SystolicBloodPressureFactor = 1.
• PulseFactor is assigned values by this ordered logic:
  • If Pulse ≥120 beats/min PulseFactor = 1
  • Else PulseFactor = 0.
• PulseOxFactor is assigned values by this ordered logic:
  • If Pulse Ox ≤87 % PulseOxFactor = 1
  • Else PulseOxFactor = 0.
• GCSFactor is assigned values by this ordered logic:
  • If Glasgow Coma Scale <8 score GCSFactor = 2
  • Else if Glasgow Coma Scale ≤14 score GCSFactor = 1
  • Else GCSFactor = 0.

 

References

1. Seymour CW, Kahn JM, Cooke CR, et al. Prediction of critical illness during out-of-hospital emergency care. JAMA. 2010 Aug 18;304(7):747-54. PubMed ID: 20716737
2. Lane DJ, Wunsch H, Saskin R, et al. Assessing Severity of Illness in Patients Transported to Hospital by Paramedics: External Validation of 3 Prognostic Scores. Prehosp Emerg Care. 2020 Mar-Apr;24(2):273-281. PubMed ID: 31210571
3. Lane DJ, Wunsch H, Saskin R, et al. Screening strategies to identify sepsis in the prehospital setting: a validation study. CMAJ. 2020 Mar 9;192(10):E230-E239. PubMed ID: 32152051