Score
Organ System 0 1 2 3 4
Respiratory a (PO2/FIO2 ratio) >300 226-300 151-225 76-150 £75
Renal b (serum creatinine) £100 101-200 201-350 351-500 >500
Hepatic c (serum bilirubin) £20 21-60 61-120 121-240 >240
Cardiovascular d (PAR) £ 10.0 10.1-15.0 15.1-20.0 20.1-30.0 >30.0
Hematologic e (Platelet count) >120 81-120 51-80 21-50 £20
Neurologic f (Glasgow Coma Score) 15 13-14 10-12 7-9 £6
a The PO2/FIO2 ratio is calculated without reference to the use or mode of mechanical ventilation, and without reference to the use or level of positive end-expiratory pressure: b The serum creatinine concentration is measured in μmol/L without reference to the use of dialysis; c the serum bilirubin concentration is measured in μmol/L d the pressure-adjusted heart rate (PAR) is calculated as the product of the heart rate (HR) multiplied by the ratio of the right atrial (central venous ) pressure (RAP) to the mean arterial pressure (MAP): PAR= HR × RAP/ mean BP; e the platelet count is measured in platelets/ml 10-3; f the Glasgow coma Score is preferably calculated by the patient’s nurse, and is scored conservatively (for the patient receiving sedation or muscle relaxants, normal function is assumed, unless there is evidence of intrinsically altered mentation)
Table 3: The Multiple Organ Dysfunction Score.