Модифікована оцінка органної недостатності Маршалла
Organ System | Score 0* | Score 1 | Score 2 | Score 3 | Score 4 |
Cardiovascular (systolic blood pressure)† | > 90 mm Hg | < 90 mm Hg (fluid responsive) | < 90 mm Hg (not fluid responsive) | < 90 mm Hg (pH < 7.3) | < 90 mm Hg (pH < 7.2) |
Renal (serum creatinine)‡ | < 1.4 mg/dL (≤ 134 micromol/L) | 1.4–1.8 mg/dL (134–169 micromol/L) | 1.9–3.6 mg/dL (170–310 micromol/L) | 3.6–4.9 mg/dL (311–439 micromol/L) | > 4.9 mg/dL (> 439 micromol/L) |
Respiratory (PaO2/FiO2)§ | > 400 mm Hg | 301–400 mm Hg | 201–300 mm Hg | 101–200 mm Hg | ≤ 101 mm Hg |
* A score of 2 or more in any organ system indicates organ failure. | |||||
† Off inotropic support. | |||||
‡ A score for patients with preexisting chronic kidney disease depends on the extent of further deterioration of baseline renal function. No formal correction exists for a baseline serum creatinine ≥ 1.5 mg/dL (≥ 134 micromol/L). | |||||
§ PaO2 in mm Hg; FiO2 is fractional inspired O2 in decimal fraction (eg, 0.5, rather than 50%). For nonventilated patients, the FiO2 can be estimated from the following: Supplemental oxygen: FiO2 (decimal fraction)
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Data from Banks PA, Bollen TL, Dervenis C, et al: Classification of acute pancreatitis 2012: Revision of the Atlanta classification and definitions by international consensus. Gut 62:102–111, 2013. doi: 10.1136/gutjnl-2012-302779 | |||||