medical decision support medical decision support
Sign In

Denver Postinjury Multiple Organ Failure Score

Purpose: To use the Postinjury Multiple Organ Failure Score to grade the severity of multiorgan failure after severe trauma.

Description

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


To read more or access our algorithms and calculators, please log in or register.

Specialty

Objective

ICD-10