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[Scoring system to measure the severity of the multiple organ dysfunction syndrome]
Chao Wang1, Qiang Su, Shu-wen Zhang
1Department of Infection and Emergency Medicine, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China.
Objective:
To develop a scoring system to measure the severity of the multiple organ dysfunction syndrome (MODS).
Methods:
The clinical data of patients with MODS were collected and analyzed prospectively. Seven indicators were screened out to assess the functions of seven organs. Each indicator was scored from 0 to 4 points, with the 0 point representing the normal organ function, and 1 point to 4 points representing the dysfuntion to failure of the organ. Acording to the index and points a severity scoring system were developed.
Results:
Seven indicators including the systolic pressure, oxygenation index, conscious state, peripheral blood platelet count, blood total bilirubin, and serum creatinine were used to represent the functions of seven organs. The seven organs included cardiovascular system, lung, brain, coagulative system, liver, kidney, and gastrointestinal tract. The severity scoring system were composed of seven indicators and their points. The total score was 24 points. The mortality increased along with the increase of the points (P<0.001).
Conclusion:
This scoring system can be used to assess the severity of the MODS.