SCORTEN
Also written as: SCORTEN — Severity-of-illness Score for Toxic Epidermal Necrolysis
Severity scoring system for toxic epidermal necrolysis and Stevens-Johnson syndrome.
Full Definition
SCORTEN (Severity-of-illness Score for Toxic Epidermal Necrolysis) is a validated scoring system used to predict mortality in patients with toxic epidermal necrolysis and Stevens-Johnson syndrome. The score incorporates seven variables: age, malignancy, heart rate, serum urea, glucose, bicarbonate, and percentage of detached body surface. Higher scores correlate with increased mortality risk, helping guide treatment decisions and family counseling in these severe dermatologic emergencies.
Usage
Usage note: Specific to TEN/SJS; not applicable to thermal burns.
In Context
- "The patient's SCORTEN of 4 indicated a predicted mortality rate of approximately 35%." — ICU admission note
- "Daily SCORTEN calculations were performed to monitor disease progression and guide aggressive supportive care." — Dermatology consultation