Table 1. Four common clinical prediction/diagnostic rules for critical illness.
SIRS | Points | |||||||
Temperature >38°C or <36°C | 1 | |||||||
Heart rate >90 bpm | 1 | |||||||
Respiratory rate >20 /min or PaCO2 <32mmHg/4.3kPa | 1 | |||||||
White blood cell count >12000/mm3 or <4000/mm3 | 1 | |||||||
Score: 0–4 points, respiratory rate gives 0–1 points, positive score ≥2 points | ||||||||
qSOFA | Points | |||||||
Respiratory rate ≥22/min | 1 | |||||||
Altered mentation | 1 | |||||||
Systolic blood pressure ≤100mmHg | 1 | |||||||
Score: 0–3 points, respiratory rate gives 0–1 points, positive score ≥2 points | ||||||||
NEWS | Points | |||||||
3 | 2 | 1 | 0 | 1 | 2 | 3 | ||
Respiratory rate (/min) | ≤8 | 9–11 | 12–20 | 21–24 | ≥25 | |||
Oxygen saturation (%) | ≤91 | 92–93 | 94–95 | ≥96 | ||||
Supplemental oxygen | Yes | No | ||||||
Temperature (°C) | ≤35.0 | 35.1–36.0 | 36.1–38.0 | 38.1–39.0 | ≥39.1 | |||
Systolic blood pressure (mmHg) | ≤90 | 91–100 | 101–110 | 111–219 | ≥220 | |||
Heart rate (bpm) | ≤40 | 41–50 | 51–90 | 91–110 | 111–130 | ≥131 | ||
Level of consciousness | A | V, P, or U | ||||||
Score: 0–20 points, respiratory rate gives 0–3 points, warning trigger is a total score of 5 points, or a score of 3 on a single parameter | ||||||||
MEWS | Points | |||||||
3 | 2 | 1 | 0 | 1 | 2 | 3 | ||
Systolic blood pressure (mmHg) | <70 | 71–80 | 81–100 | 101–199 | ≥200 | |||
Heart rate (bpm) | <40 | 41–50 | 51–100 | 101–110 | 111–129 | ≥130 | ||
Respiratory rate (/min) | <9 | 9–14 | 15–20 | 21–29 | ≥30 | |||
Temperature (°C) | <35 | 35–38.4 | ≥38.5 | |||||
Level of consciousness | A | V | P | U | ||||
Score: 0–14 points, respiratory rate gives 0–3 points, warning trigger is a total score of 4 points, or a score of 3 on a single parameter |
Abbreviations: bpm, beats per minute; AVPU score: A = Alert, V = reacting to voice, P = reacting to pain, U = unresponsive