Medical Calculators

Oncology

Febrile Neutropenia Risk (MASCC)

Oncology

MASCC Risk Index — Febrile Neutropenia

Multinational Association for Supportive Care in Cancer risk stratification

1. Burden of Febrile Neutropenia

Symptom Burden

2. Clinical Factors

No hypotension (SBP ≥90 mmHg) +5 pts

No COPD +4 pts

Solid tumor OR lymphoma with no prior fungal infection +4 pts

No dehydration requiring IV fluids +3 pts

Outpatient status at fever onset +3 pts

Age <60 years +2 pts

Current MASCC Score

0 / 26

MASCC Risk Assessment

MASCC Score —

Risk Category —

3-Month Serious Complication Rate —

Recommended Setting —

Antibiotic Recommendations

MASCC Scoring Reference

Variable	Points
Mild or no symptoms	5
Moderate symptoms	3
Severe symptoms / moribund	0
No hypotension (SBP ≥90)	5
No COPD	4
Solid tumor or lymphoma (no prior fungal infection)	4
No dehydration requiring IV fluids	3
Outpatient at fever onset	3
Age <60 years	2
Maximum Score	26

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