Septic Severity Score (SSS)

lung

breathing room air

0

oxygen by mask

1

intubated. no PEEP

2

PEEP, 0-10%

3

PEEP > 10% with PaO2 > 50 mm Hg

4

maximal PEEP, with PaO2 <= 50 mm Hg

5

kidney

serum creatinine < 1.5 mg/dL

0

serum creatinine 1.5 - 2.5 mg/dL

1

serum creatinine 2.6 - 3.5 mg/dL

2

serum creatinine > 3.6 mg/dl with good urine output (> 50 mL per hour)

3

serum creatinine > 3.6 mg/dL with urine volume 20-50 mL per hour

4

serum creatinine > 3.6 mg/dL with urine volume < 20 mL per hour

5

coagulation

no ecchymoses and normal coagulation tests

0

ecchymoses and normal coagulation tests

1

PT 12-14 seconds or PTT 45-65 seconds

2

platelet count 20,000 - 100,000 per µL, PT > 14 seconds, PTT > 50 seconds

3

platelet count < 20,000 per µL with PT > 14 seconds and PTT > 50 seconds

4

evidence of DIC, bleeding

5

cardiovascular

normal

0

slight hypotension

1

livedo, moderate hypertension

2

vasopressors required at moderate doses

3

vasopressors required at large doses

4

profound hypotension despite maximal vasopressor doses

5

liver

normal liver function tests

0

LDH and SGOT increased, bilirubin normal

1

bilirubin 1.5 - 2.5 mg/dL

2

bilirubin 2.6 - 4.0 mg/dL

3

bilirubin 4.1 - 8.0 mg/dL

4

precoma with bilirubin > 8.0 mg/dL

5

GI tract

normal

0

mild ileus

1

moderate ileus

2

severe ileus

3

bleeding due to erosive gastritis

4

mesenteric venous thrombosis

5

neurologic

normal

0

obtunded

1

disoriented

2

irrational

3

hyporeactive

4

coma

5