The Cardiovascular
ToolsCalculators

Murray score for acute lung injury

Grades severity of acute lung injury/ARDS from four physiologic components.

Murray score for acute lung injury
Chest X-ray - quadrants with alveolar consolidation
PaO2/FiO2 ratio
PEEP (cmH2O)
Compliance (mL/cmH2O)
Result0.00

No lung injury.

Category
No lung injury

When to use

  • Grading lung-injury severity and screening for severe ARDS (e.g. ECMO consideration).

Formula

Average of four components (each 0-4): CXR quadrants, PaO2/FiO2, PEEP, compliance. Score = total/4. 0 = none, 0.1-2.5 = mild-moderate, >2.5 = severe.

Pearls and pitfalls

  • A Murray score >3 is one criterion used when evaluating patients for ECMO.

References

  1. Murray JF, Matthay MA, Luce JM, Flick MR. Am Rev Respir Dis. 1988;138(3):720-3.