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ARDS Prevention Scale

Description

The ARDS Prevention Scale can be used to predict which trauma patients may be at risk for developing the adult respiratory distress syndrome (ARDS) after trauma. In the original paper patients with high scores were placed on ventilators as prophylaxis against development of ARDS.


 

Note: The score is dated 1983.

Injury

Points

simple fracture of foot, ankle, wrist, rib and mandible

1 point for each

forearm, Le Fort II

2

humerus, tibia, vertebra, LeFort III

3

femur, pelvis

5

ruptured spleen

3

ruptured liver

4

transfusion >= 4 units of blood

3

initial systolic blood pressure < 80 mm Hg

4

PaO2 < 60 mm Hg (room air)

5

flail chest, aspiration

10

intestinal perforation

6

contusio cerebri

4

 

Interpretation:

• minimum score: 0

• maximum score: > 50

• Patients with scores >=10 are considered at risk for ARDS.

 


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Specialty

ICD-10