The present invention relates to a method for determining a
transcriptome score (TScore) suitable for assessing the risk of an undesirable clinical outcome of a patient in a clinical environment from an
assay sample or
population of
assay samples previously extracted from the patient, the method comprising, among other steps, determining a
transcriptome score (TScore) suitable for assessing the risk of an undesirable clinical outcome of the patient,
gene expression values of at least two different genes selected from a predetermined set of genes are measured for a patient sample or a
population of samples previously obtained from the patient, and a
transcriptome score is determined, where the genes are assigned or not assigned scores. The method may be computer implemented. The genes of the predetermined set of genes may be at least two genes selected from the group consisting of ADGRE3, ARL14EP, BPGM, C3AR1, CCNB1IP1, CD177, CD274, CD3D, CD74, CIITA, CTLA4, CX3CR1, GNLY, IFNgamma, IL10, IL1R2, IL1RN, IL7R, IP10 / CXCL10, MDC1, OAS2, S100A9, TAP2, TDRD9, TNF, and ZAP70. The method may be performed on an
assay biological sample extracted from a patient who has been treated in a
resuscitation department, an
intensive care unit, or a continued care unit. The invention also relates to a method of classifying samples previously taken from a patient as a group reflecting the risk of an undesirable clinical outcome in a clinical environment, or a method of identifying a patient at risk of an undesirable clinical outcome in a clinical environment, and an
in vitro or
ex vivo method of screening for whether a
drug has the ability to alleviate an undesirable clinical outcome in a patient. The invention also relates to a
computer device for carrying out the invention, and to the use of a kit for carrying out the method of the invention.