The Denver Postinjury Multiple Organ Failure Score can be used to assess organ dysfunction in patients following severe injury. This was developed at Denver General Hospital in Colorado.
Organ dysfunctions:
(1) respiratory
(2) renal
(3) hepatic
(4) cardiac
Dysfunction |
Finding |
Grade |
---|---|---|
pulmonary |
ARDS score <= 5 |
0 |
|
ARDS score 6 - 9 |
1 |
|
ARDS score 10 - 13 |
2 |
|
ARDS score > 13 |
3 |
renal |
creatinine <= 1.8 mg/dL |
0 |
|
creatinine 1.9 - 2.5 mg/dL |
1 |
|
creatinine 2.6 - 5.0 mg/dl |
2 |
|
creatinine > 5.0 mg/dL |
3 |
hepatic |
bilirubin <= 2.0 mg/dL |
0 |
|
bilirubin 2.1 - 4.0 mg/dL |
1 |
|
bilirubin 4.1 - 8.0 mg/dL |
2 |
|
bilirubin > 8.0 mg/dL |
3 |
cardiac |
no inotropes |
0 |
|
minimal inotropes |
1 |
|
moderate inotropes |
2 |
|
high inotropes |
3 |
where:
• ARDS score is the "ARDS Score in Postinjury Multiple Organ Failure"
• hepatic dysfunction: bilirubin elevation due to hepatic dysfunction and not due to biliary obstruction or resolving hematoma
• cardiac dysfunction indicates cardiac index < 3.0 L/min per square meter, requiring inotropic support with an agent such as dopamine or dobutamine. Minimal doses of inotrope < 5µg/kg per minute; moderate doses 5-25 µg/kg per minute; high doses > 25 µg/kg per minute.
total score =
= SUM(grades for all 4 organs)
Interpretation:
• minimum score: 0
• maximum score: 12
Purpose: To use the Postinjury Multiple Organ Failure Score to grade the severity of multiorgan failure after severe trauma.
Specialty: Critical Care, Emergency Medicine, Surgery, general, Surgery, orthopedic
Objective: severity, prognosis, stage
ICD-10: R57, T79,