Table 1: Scoring systems used for the diagnosis of FES. CNS: central nervous system; ESR: erythrocyte sedimentation rate.

AuthorFeatures

A.R. Gurd et al. [8] 
(FES= 1 major + 4 minor + fat microglobulinemia)
Major criteria
Respiratory insufficiency, CNS involvement, petechial rash
Minor Criteria
Pyrexia, tachycardia, jaundice, oliguria/anuria, thrombocytopenia, elevated ESR, fat microglobulinemia

B.G. Shonfeld et al. [9] 
(FES ≥ 5 points)
Diffuse petechiae (5 points)
Alveolar infiltrates (4 points)
Hypoxemia (paO2 < 70 mm Hg)
CNS involvement (1 point)
Fever ≥ 38°C
Heart rate > 120 beats/min 
Respiratory rate > 30 min

B.G. Lindeque et al. [10] 
(FES = femur fracture ± tibial fracture + 1 feature)
PaO2 < 60 mm Hg 
PaCO2 > 55 mmHg or pH < 7,3 
Respiratory rate > 35/ min 
Dyspnea, anxiety, use of accessory respiratory muscles