Description

Gibson et al reported a combined clinical score for monitoring a patient with pulmonary sarcoidosis. The authors are from the Sarcoidosis Subcommittee of the Research Committee of the British Thoracic Society.


 

Parameters:

(1) change in vital capacity (as a measure of pulmonary function)

(2) breathlessness

(3) F type (fibrotic) shadowing on the chest X-ray

 

change in vital capacity =

= (current vital capacity) – (previous vital capacity)

 

Parameter

Finding

Points

change in vital capacity

increased > 0.2 liters

1

 

decreased > 0.2 liters

-1

 

other

0

breathlessness

less (improved)

1

 

unchanged

0

 

more (deteriorated)

-1

chest X-ray

increased F shadowing

-1

 

other

0

 

total score =

= SUM(points for all 3 parameters)

 

Interpretation:

• minimum score: -3

• maximum score: 2

• The higher the score the better the clinical status of the patient.

 


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