SCARF Score Calculator
Sequential Clinical Assessment of Respiratory Function Score
For critically ill patients with traumatic rib fractures
1. Incentive spirometry <50% of predicted?
2. Respiratory rate >20 breaths/min?
3. Numeric pain score ≥5?
4. Cough inadequate to clear respiratory secretions?
SCARF Score:
Clinical note: This calculator is for educational and clinical-support use only.
It should not replace clinician assessment, local protocols, or specialist judgment.
References
- Hardin KS, Leasia KN, Haenel J, Moore EE, Burlew CC, Pieracci FM. The Sequential Clinical Assessment of Respiratory Function Score: A dynamic pulmonary physiologic score that predicts adverse outcomes in critically ill rib fracture patients. Journal of Trauma and Acute Care Surgery. 2019;87(6):1260-1268.
- Eastern Association for the Surgery of Trauma monthly literature review, May 2020: summary of the SCARF score study.
- Chen K, et al. Together is better — RibScore and SCARF in the prediction of pulmonary complications and association with surgical stabilisation of rib fractures. Injury. 2024;55(7):111562.
