COMHON Index Design and validation of a new rating scale to ...
COMHON Index Design and validation of a new rating scale to ...
COMHON Index Design and validation of a new rating scale to ...
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<strong>COMHON</strong> <strong>Index</strong><br />
1<br />
2<br />
3<br />
4<br />
LEVEL OF<br />
CONSCIOUSNESS<br />
Awake <strong>and</strong> alert<br />
(RASS: 0, +1)<br />
Agitated, Restless,<br />
Confused<br />
(RASS: >+1)<br />
Sedated but<br />
responsive<br />
(RASS: -1…..-3 )<br />
Coma, Sedated<br />
<strong>and</strong> unresponsive.<br />
(RASS: -4, -5)<br />
MOBILITY HEMODYNAMIC OXIGENATION NUTRITION<br />
Independent<br />
Walking with<br />
help<br />
Limited<br />
Bed-armchair<br />
activity<br />
Very limited but<br />
<strong>to</strong>lerates<br />
change<br />
position<br />
Unable <strong>to</strong><br />
change<br />
position.<br />
Lying prone<br />
No hemodynamic<br />
support<br />
Volume<br />
exp<strong>and</strong>ers<br />
Dopamine or<br />
Norepinephrine or<br />
IABP<br />
Needing two <strong>of</strong><br />
previous ones<br />
Spontaneous<br />
breathing <strong>and</strong><br />
FiO2 < 40%<br />
Spontaneous<br />
breathing <strong>and</strong><br />
FiO2 >40%<br />
Noninvasive<br />
Mechanical<br />
Ventilation<br />
Invasive<br />
Mechanical<br />
Ventilation<br />
LOWER RISK: 5 -9. MODERATE RISK: 10-13. HIGH RISK: 14 - 20<br />
Full oral diet<br />
Enteral or<br />
Parenteral<br />
feeding<br />
Oral fluids.<br />
Incomplete<br />
oral feeding<br />
No feeding
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