Prediction model for risk of multiple organ dysfunction syndrome in wasp sting patients: development and validation - Scorecard - MDSpire

Prediction model for risk of multiple organ dysfunction syndrome in wasp sting patients: development and validation

  • By

  • Hongmei Dai

  • Dongmei Liu

  • Li Yang

  • Jiawei Chen

  • Xiaogang Du

  • June 25, 2026

  • 0 min

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Clinical Scorecard: Risk Assessment Model for Multiple Organ Dysfunction Syndrome in Patients with Wasp Stings: Creation and Evaluation

At a Glance

CategoryDetail
ConditionMultiple Organ Dysfunction Syndrome (MODS)
Key MechanismsSystemic inflammatory response syndrome (SIRS) triggered by wasp venom leading to organ dysfunction.
Target PopulationPatients with wasp stings.
Care SettingEmergency medicine and intensive care.

Key Highlights

  • Developed a nomogram-based prediction model for MODS after wasp stings.
  • Identified independent risk factors: age, time to admission, pleural effusion, RALE score, MPV/PLT, and SIRI.
  • Model showed an AUC of 0.828, indicating good predictive ability.

Guideline-Based Recommendations

Diagnosis

  • Assess clinical characteristics and laboratory parameters to identify MODS.

Management

  • Initiate timely interventions to prevent progression to multi-organ failure.

Monitoring & Follow-up

  • Regularly evaluate risk factors and clinical status in patients with wasp stings.

Risks

  • MODS has a death rate exceeding 40% in affected patients.

Patient & Prescribing Data

324 wasp sting patients, with 90 developing MODS.

Early identification of high-risk patients is crucial for improving outcomes.

Clinical Best Practices

  • Utilize the nomogram for rapid bedside assessment of MODS risk.
  • Integrate multiple clinical indicators for comprehensive risk evaluation.

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