Abstract
The diagnosis of disseminated intravascular coagulation (DIC) based on composite scoring systems using routinely available coagulation tests has been greatly facilitated. Such scoring instruments not only adequately assess the presence of DIC but also have strong prognostic power for morbidity and mortality. In this issue of Critical Care, Gando and colleagues report on the prospective validation of the Japanese Association of Acute Medicine score for DIC in patients with severe sepsis.
Highlights
The diagnosis of disseminated intravascular coagulation (DIC) based on composite scoring systems using routinely available coagulation tests has been greatly facilitated
Japanese investigators were the first to develop a DIC scoring system, employing readily available tests such as the platelet count and routine clotting times. This Japanese scoring system was updated by the Japanese Association for Acute Medicine (JAAM)
The authors were able to show the feasibility of the new JAAM score for DIC and its prognostic power for Correspondence: m.m.levi@amc.uva.nl Department of Vascular Medicine and Internal Medicine, Academic Medical Center, University of Amsterdam, Meibergdreef 9, 1105 AZ, Amsterdam, the Netherlands multiple organ dysfunction and mortality
Summary
The diagnosis of disseminated intravascular coagulation (DIC) based on composite scoring systems using routinely available coagulation tests has been greatly facilitated. Japanese investigators were the first to develop a DIC scoring system, employing readily available tests such as the platelet count and routine clotting times. In this issue of Critical Care, Gando and colleagues have prospectively validated this renewed Japanese score in 624 patients with severe sepsis [1].
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