Adverse Factor Score

Parameter

Finding

Points

heart rate mode

< 100 beats per minute

0

100 – 120 beats per minute

1

121 – 150 beats per minute

2

> 150 beats per minute

3

blood pressure minimum in mm Hg

> 100 mm Hg

0

90 – 100 mm Hg

1

61 – 89 mm Hg

3

<= 60 mm Hg

5

maximum body temperature in °C

>= 40°C

3

38.3 – 39.9°C

1

36.1 – 38.2°C

0

<= 36.0°C

3

central venous pressure or pulmonary capillary wedge pressure

CVP < 15 cm H2O

PCWP < 18 mm Hg

0

CVP >= 15 cm H2O

PCWP >= 18 mm Hg

2

cardiac arrhythmias

none

0

supraventricular tachycardia

1

supraventricular tachycardia with cardioversion

2

premature ventricular beats, > 6 per minute

1

ventricular tachycardia, nonsustained

2

ventricular tachycardia, sustained

4

postural drainage and clapping

yes

0

no

1

secretions, quantity

intervals > 4 hours

0

every 2 – 4 hours

1

more often than every 2 hours

3

secretions, quality

thin

0

mucousy

1

thick

2

level of consciousness

alert and oriented

0

lethargic, easily aroused

1

lethargic, difficult to arouse

3

comatose

4

communication

follows commands

0

does not follow commands

1

emotional status

calm

0

depressed and/or anxious

1

agitated

2

mobility

ambulatory or up in chair

0

bed rest

1

calories per 24 hours

> 2,000

0

1,001 – 2,000

1

<= 1,000

2

vasopressors required

no

0

yes

2

number of antibiotics administered IV or IM

0 – 1

0

2

1

>= 3

2

number of antibiotics administered orally

0 - 1

0

> = 2

1

sedatives, number of doses in 24 hours

0 – 1

0

2- 3

1

> 3

3

pain medication, number of doses in 24 hours

0 – 2

0

3

1

4 – 5

2

>= 6

3

corticosteroid dosage

none

0

< 1 gram every day

1

>= 1 gram every day

2

aminophylline therapy

yes

0

no

1

nebulized bronchodilators

yes

0

no

1