LOGISTIC ORGAN
DYSFUNCTION SYSTEM (LODS) (***)
|
Organos
|
Puntuación |
|
5
|
3 |
1 |
0 |
1 |
3 |
5 |
Cardiovascular
FC (lpm) ó
TAS
(mm Hg) |
<30
<40
|
40-68
|
70-89
|
30-139
90-239
|
>
140
240-269
|
>260
|
|
Hematológico
Leucocitos
x 109/L
o
Plaquetas
x 109/L |
|
<1.0
|
1.0-2.4
<50
|
2.5-49.9
>=50
|
>=50
|
|
|
Renal
Urea (mg/dL) o
Creatinina (mg/dL) o
Diuresis (L/día) |
<0.5
|
0.5-0.74
|
|
0-35
0-1.19
0.75-9.99
|
36-59
1.2-1.59
|
60-119
>=1.6
>=10
|
>=120
|
Respiratorio
pO2/FiO2
|
|
<150
|
>=150
|
Ventilación
espontánea |
|
|
|
Neurológico
GCS |
3-5
|
6-8
|
9-13
|
14-15
|
|
|
|
Hepático
Bilirrubina (mg/dL) o
Actividad de protrombina |
|
|
|
<25%
|
<2.0
>=25%
|
>=2.0
|
|
FC: frecuencia cardíaca; TAS: presión arterial sistólica. Si hay
varias opciones para un órgano. Escoger la
peor.
|
Puntos LODS
|
Mortalidad Prevista
(%) |
|
0 |
3.2 |
|
1 |
4.8 |
|
2 |
7.1 |
|
3 |
10.4 |
|
4 |
15.0 |
|
5 |
21.1 |
|
6 |
28.9 |
|
7 |
38.2 |
|
8 |
48.4 |
|
9 |
58.7 |
|
10 |
68.3 |
|
11 |
76.6 |
|
12 |
83.3 |
|
13 |
88.3 |
|
14 |
92.0 |
|
15 |
94.6 |
|
16 |
96.4 |
|
17 |
97.6 |
|
18 |
98.4 |
|
19 |
98.9 |
|
20 |
99.3 |
|
21 |
99.5 |
|
22 |
99.7 |
En la página web
http://www.sfar.org/scores2/lods2.html se
dispone gratuitamente de un calculador on line
para el LODS.
Le
Gall JR, Lemeshow S, Saulnier F, Alberti C, Artigas A, Teres D. The
Logistic Organ Dysfunction
System.
A new way to assess organ dysfunction in the Intensive Care
Unit.
JAMA 1996;276:802-810.