Variable | Range | Points |
Patient age | <40 years | 0 |
40-59 years | 5 | |
60-69 years | 9 | |
70-74 years | 13 | |
75-79 years | 15 | |
≥80 years | 18 | |
Temperature | <35°C, <102.2°F | 7 |
≥35°C, ≥102.2°F | 0 | |
Systolic blood pressure | ≥120 mmHg | 0 |
70-119 mmHg | 3 | |
40-69 mmHg | 8 | |
<40 mmHg | 11 | |
Heart rate | ≥160 bpm | 7 |
120-159 bpm | 5 | |
<120 bpm | 0 | |
Glasgow coma scale | ≥13 | 1 |
12-7 | 2 | |
6 | 7.5 | |
5 | 10 | |
3-4 | 15 | |
White blood cell count (g/L) | <15 | 0 |
≥15 | 2 | |
Platelet count (g/L) | <20 | 13 |
20-49 | 8 | |
50-99 | 5 | |
>100 | 0 | |
Hydrogen ion concentration (pH) | ≤7.25 | 3 |
>7.25 | 0 | |
Creatinine | <106.1 micromol/L, <1.2 mg/dL | 0 |
106.1-176.7 mmol/L, 1.2-1.9 mg/dL | 2 | |
176.8-309.3 micromol/L, 2-3.4 mg/dL | 7 | |
309.4 micromol/L, >3.5 mg/dL | 8 | |
Bilirubin level | <2 mg/dL, <34.2 micromol/L | 0 |
2-5 mg/dL, 34.2-102.6 micromol/L | 4 | |
≥6 mg/dL, ≥102.6 micromol/L | 5 | |
PaO2/FiO2 (on mechanical ventilation) | <100 mmHg | 11 |
≥100 mmHg | 7 | |
PaO2 (no mechanical ventilation) | <60 mmHg | 5 |
≥60 mmHg | 0 | |
Length of stay before ICU admission | <14 days | 0 |
14-27 days | 6 | |
>28 days | 7 | |
Co-morbidities | Cancer therapy | 3 |
Chronic heart failure, hematologic malignancy | 6 | |
Cirrhosis, AIDS | 8 | |
Cancer | 11 | |
Intrahospital location before ICU admission | Emergency room | 5 |
Other ICU | 7 | |
Other | 8 | |
Use of other major therapeutic options before ICU admission | Vasoreactive drugs | 3 |
ICU admission | Planned | 0 |
Unplanned | 3 | |
Reason for admission* | Cardiovascular: Rhythm disturbances | –5 |
Neurologic: Seizures | –4 | |
Cardiovascular: Hypovolemic hemorrhagic shock, hypovolemic non hemorrhagic shock Digestive: Acute abdomen, other | 3 | |
Neurologic: Coma, stupor, obtunded patient, vigilance disturbances, confusion, agitation, delirium | 4 | |
Cardiovascular: Septic shock Cardiovascular: Anaphylactic shock, mixed and undefined shock | 5 | |
Hepatic: Liver failure | 6 | |
Neurologic: Focal neurologic deficit | 7 | |
Digestive: Severe pancreatitis | 9 | |
Neurologic: Intracranial mass effect | 10 | |
All others | 0 | |
Surgical status | Scheduled | 0 |
No surgery | 5 | |
Emergency | 6 | |
Anatomical site of surgery | Transplantation surgery: Liver, kidney, pancreas, kidney and pancreas, transplantation other | –11 |
Trauma: Other, isolated (includes thorax, abdomen, limb) Trauma: Multiple | –8 | |
Cardiac surgery: CABG without valvular repair | –6 | |
Neurosurgery: Cerebrovascular accident | 5 | |
All others | 0 | |
Acute infection | Nosocomial | 4 |
Respiratory | 5 |
bpm: beats per minute; PaO2: partial pressure of arterial oxygen; FiO2: fraction of inspired oxygen.
* Every patient gets 16 points for an admission with the indicated points added or subtracted for each diagnosis.Do you want to add Medilib to your home screen?