| ARCHETYPE ID | openEHR-EHR-OBSERVATION.murray_score.v0 |
|---|---|
| Concept | Murray score |
| Description | Clinical tool used to estimate the severity of acute lung injury. |
| Use | Use to record the score for each component parameter and the calculated final score for the Murray score. |
| Misuse | The Murray score is a guide only and should not replace clinical evaluation by clinicians on the appropriateness of ECMO initiation. |
| Purpose | To record the score for each component parameter and the calculated final score for the Murray score. |
| References | Murray JF, Matthay MA, Luce JM, Flick MR. An expanded definition of the adult respiratory distress syndrome. Am Rev Respir Dis. 1988 Sep;138(3):720-3. doi: 10.1164/ajrccm/138.3.720. Erratum in: Am Rev Respir Dis 1989 Apr;139(4):1065. PMID: 3202424. Available from: https://pubmed.ncbi.nlm.nih.gov/3202424/. Peek GJ, Clemens F, Elbourne D, Firmin R, Hardy P, Hibbert C, Killer H, Mugford M, Thalanany M, Tiruvoipati R, Truesdale A, Wilson A. CESAR: conventional ventilatory support vs extracorporeal membrane oxygenation for severe adult respiratory failure. BMC Health Serv Res. 2006 Dec 23;6:163. doi: 10.1186/1472-6963-6-163. PMID: 17187683; PMCID: PMC1766357. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1766357/. Raghavendran K, Napolitano LM. Definition of ALI/ARDS. Crit Care Clin. 2011 Jul;27(3):429-37. doi: 10.1016/j.ccc.2011.05.006. PMID: 21742209; PMCID: PMC3173767. Available from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3173767/. |
| Copyright | HiGHmed, openEHR Foundation |
| Authors | Forfatternavn: Sarah Ballout Organisasjon: MHH-Hannover E-post: ballout.sarah@mh-hannover.de Opprinnelig skrevet dato: 2020-04-23 |
| Other Details Language | Forfatternavn: Sarah Ballout Organisasjon: MHH-Hannover E-post: ballout.sarah@mh-hannover.de Opprinnelig skrevet dato: 2020-04-23 |
| Other Details (Language Independent) |
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| Keywords | lung, injury, ARDS |
| Lifecycle | in_development |
| UID | 3ffb15ea-178b-4e50-ad00-7468e04b5e62 |
| Language used | en |
| Citeable Identifier | 1078.36.2338 |
| Revision Number | 0.0.1-alpha |
| Archetype Concept Comment | Also known as the 'Lung injury score'. |
| data | |
| Consolidation on CXR | Consolidation on CXR: Radiographic findings on Xray of the lung. 0: None [No alveolar consolidation.] 1: 1 quadrant [Alveolar consolidation confined to 1 quadrant.] 2: 2 quadrants [Alveolar consolidation confined to 2 quadrants.] 3: 3 quadrants [Alveolar consolidation confined to 3 quadrants.] 4: 4 quadrants [Alveolar consolidation in all 4 quadrants.] |
| PaO₂/FiO₂ ratio | PaO₂/FiO₂ ratio: Index of oxygenation (PaO2/FIO2). 0: ≥300 [Ratio is greater than or equal to 300.] 1: 225-299 [Ratio is between 225 and 299.] 2: 175-224 [Ratio is between 175 and 225.] 3: 100-174 [Ratio is between 100 and 174.] 4: <100 [Ratio is less than 100.] |
| PEEP | PEEP: The Positive End Expiratory Pressure (PEEP), measured in cm H₂O. 0: ≤5 [PEEP is less than or equal to 5 cmH₂O.] 1: 6–8 [PEEP is between 6 and 8 cmH₂O.] 2: 9–11 [PEEP is between 9 and 11 cmH₂O.] 3: 12–14 [PEEP is between 12 and 14 cmH₂O.] 4: ≥15 [PEEP is greater than or equal to 15 cmH₂O.] |
| Compliance | Compliance: Lung compliance, calculated in ml/cm H₂O. Calculated value, from VT / ( PIP – PEEP ). 0: ≥80 [Compliance is greater than or equal to 80 ml/cmH₂O.] 1: 60–79 [Compliance is between 60 and 79 ml/cmH₂O.] 2: 40–59 [Compliance is between 40 and 59 ml/cmH₂O.] 3: 20–39 [Compliance is between 20 and 39 ml/cmH₂O.] 4: ≤19 [Compliance is less than or equal to 19 ml/cmH₂O.] |
| Score | Score: Sum of points assigned for each of the component parameters divided by the number of parameters. Egenskap: Qualified real Enheter: 0.0..4.0 Begrens antall desimaler: 1 |
| Severity assessment | Severity assessment: The assessment about severity of the lung injury, based on the Murray score.
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| protocol | |
| Extension | Extension: Additional information required to extend the model with local content or to align with other reference models or formalisms. For example: local information requirements; or additional metadata to align with FHIR. Inkluder: Alle ikke eksplisitt ekskluderte arketyper |
| events | |
| Any event | Any event: Default, unspecified point in time or interval event which may be explicitly defined in a template or at run-time. |
| Other contributors | Silje Ljosland Bakke, Helse Vest IKT AS, Norway (openEHR Editor) Heather Leslie, Atomica Informatics, Australia (openEHR Editor) |
| Translators |