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. 2024 Nov 22;20(2):943–948. doi: 10.1016/j.radcr.2024.10.126

Table 2.

Schonfeld fat embolism index, which assigns a score based on clinical criteria for diagnosing fat embolism syndrome.

Criteria Score
Petechiae 5
Chest X-ray changes (diffuse alveolar infiltrates) 4
Hypoxemia (PaO₂ <9.3 kPa) 3
Fever (>38°C) 1
Tachycardia (>120 bpm) 1
Tachypnea (>30 bpm) 1
Confusion 1

A score of 5 or more strongly suggests the presence of fat embolism syndrome. Our patient scored 8 points, indicative of a strong likelihood of FES.