What is SCORTEN or Score for severity of Toxic Epidermal Necrolysis?

SCORTEN

SCORTEN or The score for severity of Toxic Epidermal Necrolysis (TEN) is described below:

Factors for scorten:

Following factors are to be considered to calculate the severity of the TEN (toxic epidermal necrolysis)
  • Age> 4o years
  • Heart rate >120 beats/min
  • Cancer or haematological malignancy
  • Involved body surface area >10%
  • Blood urea >10 mmol/L (28 mg/dl)
  • Serum bicarbonate <20 mmol/L (20 meq/L)
  • Blood glucose ≥14 mmol/L (252mg/dl)  


Mortality rates:

According to the presence of the number of above-mentioned factors, the mortality rates (%) are as following 
  • 0-1 factor present= 2%
  • 2 factors = 12%
  • 3 factors = 35%
  • 4 factors = 58%
  • ≥5 factors= 90%

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