Phoenix Sepsis Score

Used to monitor the severity of organ dysfunction during intensive care of sepsis in children.

Clinical parameters

Respiratory (mmHg) *

• P/F ratio: ≥400 or • S/F ratio: ≥2920• P/F ratio: <400 or • S/F ratio: <292 * on any respiratory support+1• P/F ratio: 100-200 or • S/F ratio: 148-220 * with IMV+2• P/F ratio: <100 or • S/F ratio: <148 * with IMV+3

Required

Platelets (x10³/µL)

≥1000<100+1

Required

INR

≤1.30>1.3+1

Required

D-dimer

≤2 μg/mL FEU0>2 μg/mL FEU+1

Required

Fibrinogen

≥100 mg/dL0<100 mg/dL+1

Required

Glasgow Coma Score

GCS >10; pupils reactive0GCS ≤10+1Fixed pupils bilaterally+2

Required

Lactate

<5 mmol/L05-10.9 mmol/L+1>10.9 mmol/L+2

Required

Vasoactive medications

No vasoactive medications01 vasoactive medication+12 and more vasoactive medications+2

Required

Mean Arterial Pressure (MAP)

<1 m: >30; 1–11 m: >38; 1-2 years: >43; 2-5 years: >44; 5-12 years: >48; 12-17 years: >510<1 m: 17-30; 1–11 m: 25–38; 1-2 years: 31–43; 2-5 years: 32–44; 5-12 years: 36–48; 12-17 years: 38–51+1<1 m: <17; 1–11 m: <25; 1-2 years: <31; 2-5 years: <32; 5-12 years: <36; 12-17 years: <38+2

Required

Score result

0 of 9 score components complete0 / 9

0 / 9

Complete all required parameters to calculate the score.

Still required

Respiratory (mmHg) *
Platelets (x10³/µL)
INR
D-dimer
Fibrinogen
Glasgow Coma Score
Lactate
Vasoactive medications
Mean Arterial Pressure (MAP)

Clinical context

Score ≥2 + ≥1 cardiovascular point (Lactate, Vasoactive medications, MAP) suggests septic shock. * Respiratory: - P/F ratio calculated as: PaO2 / FiO2 as decimal - S/F ratio calculated as: SpO2 / FiO2 as decimal