The Lung Injury Score can be used to assess the adult patient for the extent of acute pulmonary damage. It can be used both at the onset of a lung disorder and during the course of the illness to monitor changing lung involvement.
Parameters:
(1) chest X-ray evaluated for alveolar consolidation
(2) ratio of the partial pressure of oxygen in arterial blood to the inspiratory fraction of oxygen
(3) PEEP level, if ventilated
(4) respiratory compliance, if known
|
Parameter |
Finding |
Value |
|---|---|---|
|
chest roentgenogram score |
no alveolar consolidation |
0 |
|
|
alveolar consolidation confined to 1 quadrant |
1 |
|
|
alveolar consolidation confined to 2 quadrant |
2 |
|
|
alveolar consolidation confined to 3 quadrant |
3 |
|
|
alveolar consolidation confined to 4 quadrant |
4 |
|
hypoxemia score |
PaO2/FIO2 > 300 |
0 |
|
|
PaO2/FIO2 225 - 299 |
1 |
|
|
PaO2/FIO2 175 - 224 |
2 |
|
|
PaO2/FIO2 100 - 174 |
3 |
|
|
PaO2/FIO2 < 100 |
4 |
|
PEEP score, if ventilated |
PEEP <= 5 cm H2O |
0 |
|
|
PEEP 6 - 8 cm H2O |
1 |
|
|
PEEP 9 - 11 cm H2O |
2 |
|
|
PEEP 12 - 14 cm H2O |
3 |
|
|
PEEP >= 15 cm H2O |
4 |
|
respiratory system compliance score, if available |
compliance >= 80 mL/cm H2O |
0 |
|
|
compliance 60 - 79 mL/cm H2O |
1 |
|
|
compliance 40 - 59 mL/cm H2O |
2 |
|
|
compliance 20 - 39 mL/cm H2O |
3 |
|
|
compliance <= 19 mL/cm H2O |
4 |
score =
= (sum of parameter values) / (number of parameters used)
Interpretation:
• maximum sum of parameters: 16
• minimum sum of parameters: 0
• maximum number of parameters: 4
• minimum number of parameters: 2
• maximum score: 4
• minimum score: 0
|
Score |
Outcome |
|---|---|
|
0 |
no lung injury |
|
0.1 - 2.5 |
mild-to-moderate lung injury |
|
> 2.5 |
severe lung injury (ARDS) |
Purpose: To use the Lung Injury Score to evaluate the adult patient for acute pulmonary damage.
Specialty: Pulmonology
Objective: severity, prognosis, stage, complications, selection, complication detection
ICD-10: J80,
