Study of GCRBS Score: A New Scoring System for Predicting Outcome in Severe Falciparum Malaria at Tertiary Care Centre M.B.G.H. Udaipur

Introduction: Severe falciparum malaria is a critical illness resulting in multi-organ dysfunction and death. The purpose of this study is to emphasize GCRBS scoring system for predicting outcome in severe falciparum malaria. Methods: A total of 70 patients of severe falciparum malaria as per WHO criteria 2006 admitted to medicine ward and ICU of R. N. T. Medical College and M. B. G. Hospital Udaipur, Rajasthan from May 2017 to Nov 2017 were taken into the study. On the basis of 5 clinical and biochemical parameter, GCRBS score is calculated for each patient. The GCRBS score has a possible score of 0 to 10.5 parameters are required for its calculation namely GCS, S. Creatinine, Respiratory rate, S. Bilirubin and Systolic BP (mnemonic GCRBS) Results: The five selected parameters were analysed using the Odds ratio and GCRBS score was calculated for each patient with a possible score from 0-10. With a cut-off score of 5, the GCRBS score predicted mortality with a sensitivity of 84.6 % and a specificity of 91.6 %. Conclusion: The GCRBS score is easy to calculate and apply. The most important advantage of this scoring system is that all the 5 parameters are to be assessed quantitatively for allotting a score, which would eliminate the possibility of observer bias