| Clinical Sign | Cuttoff | Points |
|---|---|---|
| Temperature | 36.5-38.4 | 0 |
| 38.5-38.9 | 1 | |
| ≥39 or ≤36 | 2 | |
| WBC | 4-11 | 0 |
| <4 or >11 | 1 | |
| Above plus bands ≥500 | 2 | |
| Tracheal secretions | > 14 | 0 |
| ≥14 | 1 | |
| ≥14 and purulent | 2 | |
| PaO2/FiO2 | >240 or ARDS | 0 |
| ≤240 and no ARDS | 2 | |
| CXR | No infiltrate | 0 |
| Diffuse or patchy | 1 | |
| Localized | 2 | |
| ETT culture | Little or no growth | 0 |
| 1+ growth | 1 | |
| Above plus visible on Gram stain | 2 |
Interpretation
- Cutoff ≥7 suggests would benefit from BAL
- However, poor sensitivity (65%) and specificity (64%) on metanalysis (https://dx.doi.org/10.4187/respcare.01097)
