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Professional Technical IVT

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

Don't confuse with

TBSA burn index

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