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ICU Scores: Mutiple Organ Dysfunction Score (MODS)

multiple organ dysfunction score, constructed using simple physiologic measures of dysfunction in six organ systems, mirrors organ dysfunction as the intensivist sees it and correlates strongly with the ultimate risk of ICU mortality and hospital mortality

Multiple organ dysfunction score: a reliable descriptor of a complex clinical outcome.
Crit Care Med. 1995 Oct;23(10):1638-52. Review.
Marshall JC, Cook DJ, Christou NV, Bernard GR, Sprung CL, Sibbald WJ

Multiple Organ Dysfunction Score (MODS)
Select Unit
std
SI
Cardiovascular
Respiratory
Systolic Blood Pressure
PaO2
Diastolic Blood Pressure
FIO2 as percentage (%)
Heart Rate
Renal
CVP
Serum creatinine
Hepatic
Hematologic
Serum bilirubin
Platelet count per µL (X1000)
Neuro
Glasgow coma score (calculate)
MODS Score
ICU Mortality
Hospital Mortality
ICU Stay

Glascow Coma Score

Eyes Opening

Verbal Response

Motor Response

spontaneous
to speech
to pain
absent

converses & oriented
converses & dsoriented
iappropriate
incomprehensible
absent

obeys
localizes pain
withdraws (flexion)
decorticate (flexion) rigidity
decerebrate (extension) rigidity
absent

Glasgow Coma Score=

Up to MODS

APACHE II SAPS II MPM-0 MPM-24 MPM-48 MPM-Over Time SOFA MODS PRISM

References:

Scoring systems for assessing organ dysfunction and survival.
Crit Care Clin. 2000 Apr;16(2):353-66. Review.

The Multiple Organ Dysfunction Score (MODS) versus the Sequential Organ Failure Assessment (SOFA) score in outcome prediction.
Intensive Care Med. 2002 Nov;28(11):1619-24. Epub 2002 Sep 6.

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