Which score should be used for posttraumatic multiple organ failure? - Comparison of the MODS, Denver- and SOFA- Scores

Table 1 Summery of the Denver Score, SOFA Score and MOD Score

Dysfunction	Grade 0	Grade 1	Grade 2	Grade 3	Grade 4
Denver Score
Pulmonary, PaO₂/FIO₂, [mmHg]	>208	208–165	165–83	<83
Hepatic, bilirubin, [μmol/L]	<34	34–68	69–137	>137
Renal creatinine, [μmol/L]	<159	160–210	211–420	>420
Cardiac inotropes^a	No inotropes	Only 1 inotrope at a small dose	Any inotrope at moderate dose or >1 agent at small dose	Any inotrope at large dose or >2 agents at moderate dose
SOFA score
Pulmonary, PaO₂/FIO₂, [mmHg]	>400	≤400	≤300	≤200	≤100
Coagulation, platelet count, [×10³/μL]	>150	≤150	≤100	≤50	≤20
Hepatic, bilirubin, [μmol/L]	≤20	20–32	33–101	102–204	>204
Cardiovascular, inotropes^b in μg/kg/min	No hypotension	Mean arterial pressure <70 mmHg	Dopa ≤5 or any Dobu dose	Dopa >5 or Epi ≤0.1 or Nor ≤ 0.1	Dopa >15 or Epi >0.1 or Nor >0.1
Renal, creatinine, [μmol/L]	<110	110–170	171–299	300–440	>440
Central nervous system, GCS	15	13–14	10–12	6–9	<6
MODS
Pulmonary, PaO₂/FIO₂, [mmHg]	>300	226–300	151–225	76–150	≤51
Renal, creatinine, [μmol/L]	≤100	101–200	201–350	351–500	>500
Hepatic, bilirubin, [μmol/L]	≤20	21–60	61–120	121–240	>240
Cardiovascular, PAR^c	≤10.0	10.1–15.0	15.1–20.0	20.1–30.0	>30.0
Coagulation, platelet count, ×10³/μL	>120	81–120	51–80	21–50	≤20
Central nervous system, GCS	15	13–14	10–12	6–9	<6

^aInotrope doses (in μg/kg/min): vasopressin: small <0.03, moderate 0.03–0.07, large >0.07; dopamine: small <6, moderate 6–10, large >10; dobutamine: small <6, moderate 6–10, large >10; epinephrine: small <0.06, moderate 0.06–0.15, large >0.15; norepinephrine: small <0.11, moderate 0.11–0.5, large >0.5
^b Dopa Dopamine, Dobu Dobutamine, Epi Epinephrine, Nor Norepinephrine
^cPAR = Heart Rate × Central Venous Pressure/Mean Arterial Blood Pressure

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