🦠 MASCC Score (Febrile Neutropenia Risk)
Identify low-risk febrile neutropenia with the MASCC score.
MASCC Score (Febrile Neutropenia Risk)
Burden of illness
No hypotension (SBP > 90)
No COPD
Solid tumour or no prior fungal infection
No dehydration needing IV fluids
Outpatient at fever onset
Age < 60
When to use
Decide on outpatient versus inpatient management.
How it works
Weighted items (burden of illness, no hypotension, no COPD, tumour type, hydration, outpatient status, age) up to 26. ≥ 21 = low risk.
Key points
- ≥ 21 may permit outpatient oral therapy in selected patients.
- Apply alongside social and clinical criteria.
- Never override clinical concern.
References
Decision support for licensed clinicians only; not a substitute for clinical judgement, diagnosis or local protocols.