MODS

(Multiple Organ Dysfunction Score)

Respiratory (help)	Hematologic	Hépatic (Bilirubin)
Cardio-vascular (help)	Glasgow (help)	Renal (Creatinine)
Total MODS = ....... ......(Mortality)

Parameters are evaluated on admission as a prognostic indicator (possibly over the ICU stay as an outcome measure)

Ref : Marschall JC et al. Multiple Organ Dysfunction Score : a reliable descriptor of a complex clinical outcome. Crit Care med.1995;23:1638-52

Web page: Jean-Yves Marandon Centre Chirurgical Marie Lannelongue (France)

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Score

ICU Mortality

Hospital Mortality
ICU Stay

0

0%

0%
2 Days

1-4

1-2%

7%
3 Days

5-8

3-5%

16%
6 Days

9-12

25%

50%
10 Days

13-16

50%

70%
17 Days

17-20

75%

82%
21 Days

21-24

100%

100%

(Performance of the MODS in the entire study population)

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The PaO2 / FiO2 ratio is calculated without reference to the use of mode of mechanical ventilation and without reference to the use of PEEP.

The serum creatinine concentration is measured without reference to the use of dialysis.

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).

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HR	Pressure adjusted heart rate
CVP mmHg
MAP mmHg
Formula: ( HR*CVP) /MAP

Eyes Open	Verbal	Motor
Spontaneous To speech To pain Absent	Converses / Oriented Converses / Disoriented Inapropriate Incomprehensible Absent	Obeys Localizes pain Withdraws (flexion) Decorticate (flexion) rigidity Decerebrate (extension) rigidity Absent

Score	ICU Mortality	Hospital Mortality	ICU Stay
0	0%	0%	2 Days
1-4	1-2%	7%	3 Days
5-8	3-5%	16%	6 Days
9-12	25%	50%	10 Days
13-16	50%	70%	17 Days
17-20	75%	82%	21 Days
21-24	100%	100%