Scoring Systems Flashcards
What is the Modified Glasgow Criteria?
Used to assess Acute Pancreatitis.
- PaO₂ <59.3 mmHg (7.9 kPa)
- Age >55 years
- WBC >15 x 10³/µL (10⁹/L)
- Calcium <8 mg/dL (2 mmol/L)
- Urea >44.8 mg/dL (serum urea >16 mmol/L)
- LDH >600 IU/L
- Albumin <3.2 g/dL (32 g/L)
- Glucose >180 mg/dL (10 mmol/L)
≥3 is Severe Pancreatitis
What is CHA2DS2-VAS?
Used to determine the need to anticoagulate a patient in atrial fibrillation
- Congenital Heart Failure: 1
- Hypertension: 1
- Age >75: 2
- Diabetes Mellitus: 1
- Stroke/TIA: 2
- Vascular Disease: 1
- Age >65: 1
- Sex female: 1
What is DAS28?
Measure of disease activity in rheumatoid arthritis
What is the Child-Pugh classification?
A scoring system used to assess the severity of liver cirrhosis
- Bilirubin (Total)
- Albumin
- INR
- Ascites
- Encephalopathy
What is the Wells Score?
Used to assess risk of PE
- Clinical signs and symptoms of DVT: +3
- PE is #1 diagnosis OR equally likely: +3
- Heart rate > 100: +1.5
- Immobilization at least 3 days OR surgery in the previous 4 weeks: +1.5
- Previous, objectively diagnosed PE or DVT: +1.5
- Hemoptysis: +1
- Malignancy w/ treatment within 6 months or palliative: +1
What is the MMSE? (mini-mental state exam)
Used to assess cognitive impairment
- Orientation
- Registration
- Attention and Calculation
- Recall
- Language
What are in hospital mental condition scores?
- HAD: Hospital Anxiety and Depression (HAD) scale to assess severity of anxiety and depression symptoms
- PHQ-9 Patient Health Questionnaire to assess severity of depression symptoms
What is CURB-65?
Used to assess the prognosis of a patient with pneumonia
- Confusion: 1
- Urea > 19 mg/dL (> 7 mmol/L): 1
- Respiratory Rate ≥ 30: 1
- Systolic BP < 90 mmHg or Diastolic BP ≤ 60 mmHg: 1
- Age ≥ 65: 1
What is the Epworth Sleepiness Scale?
Used in the assessment of suspected obstructive sleep apnoea
What are scoring system for Prostate Cancer?
- IPSS
- International prostate symptom score
-
Gleason score
- Indicates prognosis in prostate cancer
What is the FRAX score?
Risk assessment tool developed by WHO which calculates a patients 10-year risk of developing an osteoporosis related fracture
What is the nutritional assessment critieria?
MUST
Malnutrition
What is the HAS-BLED score?
Used to assess the risk of bleeding from anticoagulation
-
Hypertension: 1
- Uncontrolled, >160 mmHg systolic
-
Renal disease: 1
- Dialysis, transplant, Cr >2.26 mg/dL or >200 µmol/L
-
Liver disease: 1
- Cirrhosis or bilirubin >2x normal with AST/ALT/AP >3x normal
- Stroke history: 1
- Prior major bleeding or predisposition to bleeding: 1
-
Labile INR: 1
- Unstable/high INRs, time in therapeutic range <60%: 1
- Age >65: 1
-
Medication usage predisposing to bleeding: 1
- Aspirin, clopidogrel, NSAIDs
-
Alcohol use: 1
- ≥8 drinks/week
What is the BLATCHFORD-Score?
Used to stratify which patients are low risk for GI bleed before endoscopy
- Hemoglobin
- Urea
- Initial systolic BP
- Sex
- Heart rate ≥100
- Melena present
- Recent syncope
- Hepatic disease history
- Cardiac failure present
What is the Rockall Score?
-
Age
- <60 years: 0
- 60-79 years: +1
- ≥80 years: +2
- 60-79 years: +1
- <60 years: 0
-
Shock
- No shock (SBP ≥100 AND HR <100): 0
- Tachycardia (SBP ≥100 AND HR ≥100): +1
- Hypotension (SBP <100): +2
- Tachycardia (SBP ≥100 AND HR ≥100): +1
- No shock (SBP ≥100 AND HR <100): 0
-
Comorbidities
- No major comorbidity: 0
- Any comorbidity EXCEPT renal failure, liver failure, and/or disseminated malignancy: +2
- Renal failure, liver failure, and/or disseminated malignancy: +3
- Any comorbidity EXCEPT renal failure, liver failure, and/or disseminated malignancy: +2
- No major comorbidity: 0
-
Diagnosis
- Mallory-Weiss tear: 0
- No lesion identified and no stigmata of recent hemorrhage: 0
- All other diagnoses: +1
- Malignancy of upper GI tract: +2
- All other diagnoses: +1
- No lesion identified and no stigmata of recent hemorrhage: 0
- Mallory-Weiss tear: 0
-
Major stigmata of recent hemorrhage
- None: 0
- Dark spot only: 0
- Blood in upper GI tract: +2
- Adherent clot: +2
- Visible or spurting vessel: +2
- Adherent clot: +2
- Blood in upper GI tract: +2
- Dark spot only: 0
- None: 0
