Kor et al reported the SLIP-2 score, based on the original SLIP score. This can help to identify a surgical patient at risk for postoperative lung injury. The authors are from multiple institutions in the Untied States.
Patient selection: surgical patient
Outcome: postoperative ARDS
Parameters:
(1) sepsis
(2) high risk cardiac surgery
(3) high risk aortic vascular surgery
(4) emergency surgery
(5) cirrhosis
(6) admission source (residence)
(7) respiratory rate in breaths per minute
(8) FIO2 in percent
(9) oxygen saturation by pulse oximeter in percent
Parameter
Finding
Points
sepsis
no
0
yes
10
high risk cardiac surgery
no
0
yes
7
high risk aortic vascular
no
0
yes
11
emergency surgery
no
0
yes
10
cirrhosis
no
0
yes
20
admission source
home
0
other than home
9
respiratory rate
< 20 breaths per minute
0
20 to 29
7
>= 30
14
FIO2
<= 35%
0
> 35%
13
oxygen saturation
>= 95%
0
< 95%
5
total score =
= SUM(points for all of the parameters)
Interpretation:
• minimum score: 0
• maximum score: 99 (according to Table 5)
Score
Risk for ARDS
ARDS
< 10
low risk
< 2%
10 to 30
moderate risk
11%
> 30
high risk
33%
Performance:
• The area under the ROC curve is 0.84.
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