Korean J Crit Care Med.  1998 Jun;13(1):61-66.

Lung Injury Score in Predicting the Outcome of the Patients in the Intensive Care Unit

• Koh SO
• Lee SS
• Bang EC
• Na SW

Abstract

Introduction
Lung Injury Score (LIS) provides a quantitative method for scoring acute lung injury that usually occurs after sepsis. The aim of this study is to evaluate the LIS in prediction the patients outcome and determine the relationship between the LIS and mortality rate, acute physiology and chronic health evaluation II (APACHE II) score and multiple organ failure (MOF) score.
METHODS
Patients admitted to Intensive Care Unit (ICU), Severance Hospital Yonsei University College of Medicine from November 1995 to March 1996 were included. LIS at admission and discharge, APACHE II score with MOF score and duration of ICU stay between survivors and nonsurvivors were compared. Relationship of LIS between mortality rate and APACHE II score and MOF score were evaluated.
RESULTS
LIS is higher in nonsurvivors than survivors at admission and discharge with statistical significance. LIS of survivors and nonsurvivors at discharge was lower and higher than those at admission (p<0.05) respectively. Correlation coeffcient of LIS with mortality rate, MOF score and APACHE II score were 0.60 (p<0.05), 0.23 and 0.17.
CONCLUSIONS
LIS score was highly correlated with mortality rate. Therefore LIS is a good predictor of outcome in the intensive care unit.

Keyword

Intensive Care Unit; Lung injury score; Outcome

MeSH Terms

Acute Lung Injury
APACHE
Humans
Intensive Care Units*
Critical Care*
Lung Injury*
Lung*
Mortality
Multiple Organ Failure
Sepsis
Survivors