[Diagnosis criteria, severity scoring system, and the prognosis evaluation system of integrated Chinese traditional and western medicine for multiple organ dysfunction syndrome].
OBJECTIVE
To establish diagnosis criteria and severity scoring system for multiple organ dysfunction syndrome (MODS) with integrated Chinese traditional and western medicine for MODS according to the principles of evidence-based medicine.


METHODS
Our research group had conducted a prospective and multiple-center study, collecting the clinical data of 1,087 MODS patients admitted to 36 intensive care units (ICUs) of hospitals in 11 provinces in China from March 2002 to January 2005. After statistical analysis and a consensus discussion of specialists, the diagnosis criteria, severity scoring system, and a fatality prediction model were established for MODS.


RESULTS
The diagnosis criteria and severity scoring system included seven organs and related indexes for the diagnosis of MODS. The criteria based on integrated traditional and western medicine consisted four distinct symptom complexes.


CONCLUSIONS
The diagnostic criteria are only a preliminary draft to be used and evaluated in clinical setting, and it should be revised to reach a consensus of opinion.
D019317:Evidence-Based Medicine; D006801:Humans; D008516:Medicine, Chinese Traditional; D009102:Multiple Organ Failure / Q000175:diagnosis*; D011379:Prognosis; D011446:Prospective Studies