Table 1.
The point assignment scheme of each scoring system
| Model (Min-Max) | Variables | Age (year) | |||||||
|---|---|---|---|---|---|---|---|---|---|
| Temp(0C) | SBP (mm Hg) | MAP (mm Hg) | RR (breaths/min) | Pulse (beats/min) | GCS | AVPU | O2 sat(%) | ||
| SCS | <35 or ≥39→2 | >100→0 | NA | <20 0 | Pulse>SBP→2 | Coma without overdose/intoxication→4 | NA | ≥95→ 0 | male <50 or female <55 →0 |
| >80 & ≤100→2 | >20 & ≤30→1 | ||||||||
| >30→2 | Altered mental status without coma, overdose/ intoxication & aged ≥50→2 | ≥90→1 | male ≥ 50 or female≥55 →2 | ||||||
| ≥70 & ≤80→3 | Breathless →1 | <95→1 | |||||||
| <90 →2 | both male & female >75→ 4 | ||||||||
| <70→4 | |||||||||
| Other items: New stroke on presentation→3 Unable to stand unaided, or a nursing home resident→2 Prior to current illness, spent some part of daytime in bed→2 | |||||||||
| WPS (0-14) | ≥35.3→0 | ≥100→0 | NA | ≤19→0 | ≤101→0 | NA | A→0 | 96-100→0 | NA |
| <35.3→3 | ≤99→2 | 20-21→1 | ≥102→1 | Other→3 | |||||
| ≥22→2 | 94-95→1 | ||||||||
| 92-93→2 | |||||||||
| <92→3 | |||||||||
| RAPS (0-16) | NA | NA | 70-109→0 | 12-24→0 | 70-109→0 | ≥14→0 | NA | NA | NA |
| 50-69→2 | 10-11→1 | 50-69→2 | 11-13→1 | ||||||
| 110-129→2 | 25-34→1 | 110-139→2 | 8-10→2 | ||||||
| 130-159→3 | 6-9→2 | 40-54→3 | 5-7→3 | ||||||
| ≤49→4 | 35-49→3 | 140-179→3 | ≤4→4 | ||||||
| ≥160→4 | ≥5→4 | ≤39→4 | |||||||
| ≤50→4 | ≥180→4 | ||||||||
| REMS (0-26) | NA | NA | 70-109→0 | 12-24→0 | 70-109→0 | ≥14→0 | NA | >89→0 | <45→0 |
| 50-69→2 | 10-11→1 | 50-69→2 | 11-13→1 | 86-89→1 | 45-54→2 | ||||
| 110-129→2 | 25-34→1 | 110-139→2 | 8-10→2 | 75-85→3 | 55-64→3 | ||||
| 130-159→3 | 6-9→2 | 40-54→3 | 5-7→3 | <75→4 | 65-73→5 | ||||
| ≤49→4 | 35-49→3 | 140-179→3 | ≤4→4 | ≥74→6 | |||||
| ≥160→4 | ≥5→4 | ≤39→4 | |||||||
| ≤50→4 | ≥180→4 | ||||||||
| MEWS (0-19) | ≤35→2 | ≤70→3 | NA | <9→2 | <40→2 | NA | Alert→0 | NA | NA |
| 35-38.4→0 | 71-80→2 | 9-14→0 | 41-50→1 | React to voice→1 | |||||
| ≥38.5→2 | 81-100→1 | 15-20→1 | 51-100→0 | React to pain→2 | |||||
| 11-109→0 | 21-29→2 | 101-110→1 | unresponsive→3 | ||||||
| ≥200→3 | ≥30→3 | 111-129→2 | |||||||
| ≥130→3 | |||||||||
| RLD | −10.192 + (−0.013 × gender) + (5.712 × mode of admission) + (0.053 × age on admission) +(0.018 × urea) +(−0.001 × Na+) + (−0.101 × K+) + (−0.047 × albumin) + (−0.037 ×hemoglobin) + (0.067 × white cell count) + (0.001 × creatinine) + (2.744 × urea/creatinine) | ||||||||
Abbreviations: SCS simple Clinical Score, WPS Worthing Physiological Scoring system, RAPS Rapid Acute Physiology Score, REMS Rapid Emergency Medicine Score, MEWS Modified Early Warning Score, RLD Routine Laboratory Data, Temp temperature, SBP systolic blood pressure, MAP mean arterial pressure, RR respiratory rate, GCS Glasco coma score, AVPU alert, voice, pain, unresponsive, O2sat oxygen saturation