Table 1.
System | Score | ||||
---|---|---|---|---|---|
0 | 1 | 2 | 3 | 4 | |
Respiration | |||||
PaO2/FIO2, mm
Hg (kPa) |
≥400 (53.3) | <400 (53.3) | <300 (40) | <200 (26.7) with respiratory support |
<100 (13.3) with respiratory support |
Coagulation | |||||
Platelets, ×103/µL | ≥150 | <150 | <100 | <50 | <20 |
Liver | |||||
Bilirubin,
mg/dL (µmol/L) |
<1.2 (20) | 1.2–1.9 (20–32) | 2.0–5.9 (33–101) | 6.0–11.9 (102–204) | >12.0 (204) |
Cardiovascular | MAP ≥70 mm Hg | MAP <70 mm Hg | Dopamine <5 or dobutamine (any dose)b |
Dopamine 5.1–15 or epinephrine ≤0.1 or norepinephrine ≤0.1b |
Dopamine >15 or epinephrine >0.1 or norepinephrine >0.1b |
Central nervous system | |||||
Glasgow Coma
Scale scorec |
15 | 13–14 | 10–12 | 6–9 | <6 |
Renal | |||||
Creatinine,
mg/dL (µmol/L) |
<1.2 (110) | 1.2–1.9 (110–170) | 2.0–3.4 (171–299) | 3.5–4.9 (300–440) | >5.0 (440) |
Urine output, mL/d | <500 | <200 |
Abbreviations: FIO2, fraction of inspired oxygen; MAP, mean arterial pressure; PaO2, partial pressure of oxygen.
Adapted from Vincent et al.27
Catecholamine doses are given as µg/kg/min for at least 1 hour.
Glasgow Coma Scale scores range from 3–15; higher score indicates better neurological function.