Multiple Organ System Failure Score of Tran et al

cardiovascular

• mean arterial pressure > 70 mm Hg

• heart rate > 70 beats per minute

0

• mean arterial pressure 51-70 mm Hg

• heart rate 51 - 70 beats per minute

• ventricular tachycardia

1

• mean arterial pressure <= 50 mm Hg

• heart rate <= 50 beats per minute

• need for inotropic agents

• ventricular fibrillation

• cardiac arrest

• acute myocardial infarction

2

pulmonary

• PEEP <= 4 cm H2O

• FIO2 <= 0.3

• respiratory rate 12-24 per minute

0

• PEEP 5 - 9 cm H2O

• FIO2 > 0.3 and <= 0.4

• respiratory rate 6-11 per minute, or 25-49 per minute

1

• PEEP >= 10 cm H2O

• FIO2 > 0.4

• respiratory rate <= 5 per minute or >= 50 per minute

2

renal

serum creatinine <= 2.0 mg/dL

0

serum creatinine > 2.0 and <= 3.5 mg/dL

1

• serum creatinine > 3.5 mg/dL

• chronic renal insufficiency

• acute renal replacement therapy

2

hepatic

• bilirubin <= 2.0 mg/dL

• AST <= 25 U/L

0

• bilirubin > 2.0 and <= 3.0 mg/dL

• AST > 25 and <= 50 U/L

1

• bilirubin > 3.0 mg/dL

• AST > 50 U/L

• hepatic encephalopathy

2

hematologic

• hematocrit >= 30%

• WBC count >= 3,000 per µL

• platelet count > 100,000 per µL

0

• hematocrit 21-29%

• WBC count 290 - 3,000 per µL

• platelet count 51,000 - 100,000 per µL

1

• hematocrit <= 20%

• WBC count < 300 per µL

• platelet count <= 50,000 per µL

• DIC

2

gastrointestinal

normal functioning

0

• acalculous cholecystitis;

• stress ulcer not requiring blood transfusion

1

• bleeding from stress ulcer requiring > 2 units of blood in 24 hours;

• necrotizing colitis;

• necrotizing pancreatitis;

• perforation of viscus or gallbladder

2

neurologic

Glasgow coma score 13-15

0

Glasgow coma score 7-12

1

Glasgow coma score <= 6

2