ToolsCalculators
Diabetic ketoacidosis mortality prediction model (DKA MPM) score
In-hospital mortality risk in adult diabetic ketoacidosis.
Diabetic ketoacidosis mortality prediction model (DKA MPM) score
Severe co-existing disease at presentation
pH <7.0 at presentation
Regular insulin >50 units required over first 12 h
Serum glucose >16.7 mmol/L (>300 mg/dL) after 12 h
Depressed mental state after 24 h
Fever (temperature >=38 C) after 24 h
Result0 points
Predicted in-hospital mortality about 0.86 %.
- Risk tier
- 0-14
- In-hospital mortality
- 0.86 %
When to use
- Estimating mortality risk in adults admitted with diabetic ketoacidosis.
Formula
Points: severe co-existing disease at presentation (6); pH <7.0 at presentation (4); insulin >50 U over first 12 h (4); glucose >16.7 mmol/L at 12 h (4); depressed mental state at 24 h (4); fever at 24 h (3). Range 0-25.
Pearls and pitfalls
- Some inputs are recorded at 12 and 24 hours, so the final score is not available at presentation.