MDCalc

PROMISE Score for Malignant Pleural Effusion

Predicts 3-month mortality in patients with malignant pleural effusion.

Previous chemotherapy
At any time
Previous radiotherapy
At any time
Hemoglobin, g/dL
Serum WBC count, 10⁹ cells/L
C-reactive protein, IU/L
ECOG performance status
Cancer type
TIMP1, ng/mg protein
Optional, for calculating the Biological PROMISE Score

Result:

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Advice
  • Consider optimizing supportive care and avoiding invasive interventions in patients with higher mortality to improve quality of life.
  • Elevated CRP is nonspecific. Use clinical judgment and ensure that pleural fluid is carefully evaluated for potential coexisting infectious/inflammatory etiologies.