Horowitz_Index_for_Lung_Function_P_F_Ratio v.1

Assesses lung function, particularly in intubated patients.

Henrik Honkanen

henrik.honkanen@stud.ki.se

@Cambio CDS

The Horowitz index is used to assess lung function, particularly in intubated patients.

Use to assess lung function, especially for patients on ventilators. Tips for COVID-19: Use to determine floor vs. ICU. Index interpretation: -Horowitz Index (P/F Ratio) >300mmHg. Not ARDS. Mortality undefined -Horowitz Index (P/F Ratio) >200-300mmHg. Mild ARDS. Mortality 27% -Horowitz Index (P/F Ratio) >100-200mmHg. Moderate ARDS. Mortality 32% -Horowitz Index (P/F Ratio) ≤100mmHg. Severe ARDS. Mortality 45% The following can be used for estimating FiO₂ from oxygen flow/delivery rates. 1. Type of O₂ delivery: Nasal cannula. Flow rate 1-6 L/min. FiO₂: Room air = 21%, 1 L/min = 25%. 2 L/min = 29%. 3 L/min = 33%. 4 L/min = 37%. 5 L/min = 41% or 6 L/min = 45%. 2. Type of O₂ delivery: Simple face mask. Flow rate ~6-12 L/min. FiO₂: 35-60% (Varies based on respiratory rate and minute ventilation). 3. Type of O₂ delivery: Non-rebreather mask. Flow rate ~10-15 L/min. FiO₂: ~70-90%. 4. Type of O₂ delivery: High-flow nasal cannula. Flow rate Up to 60. FiO₂: 30-100%.

1. Horovitz JH, Carrico CJ, Shires GT. Pulmonary response to major injury. Archives of Surgery. 1974 Mar 1;108(3):349-55.

OBSERVATION.horowitz_index_for_lung_function_p_f_ratio.v0