Tyburski et al reported a pulmonary contusion score to evaluate a trauma patient. The authors are from Detroit Receiving Hospital and University Health Center in Michigan.

Patient selection: trauma patient with pulmonary contusions


Examination: chest X-ray, performed on arrival and after 24 hours, with each lung field divided into upper third, middle third and lower third.


Parenchymal changes of contusion involving an entire lung is given 9 points, with involvement of one-ninth of the lung assigned 1 point.


total score =

= SUM(points for both lungs)



• minimum score: 0

• maximum score: 18

• The higher the score the more extensive the pulmonary contusions.

• An increase in the score between admission and 24 hours is associated with increased mechanical ventilation and mortality.


Total Score

Pulmonary Contusions



1 or 2


3 to 9


10 to 18



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