[Scoring system to measure the severity of the multiple organ dysfunction syndrome].
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).


CONCLUSIONS
This scoring system can be used to assess the severity of the MODS.
Wang
Chao
C
Department of Infection and Emergency Medicine, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China.
Su
Qiang
Q
Zhang
Shu-wen
SW
Yin
Cheng-hong
CH
Wang
Hong
H
Wang
Bao-en
BE
D006801:Humans; D009102:Multiple Organ Failure / Q000175:diagnosis* / Q000401:mortality / Q000503:physiopathology; D012720:Severity of Illness Index