Scoring systems to be familiar of Flashcards
HAS-BLED
- Used to assess bleeding risk
- Can be used with CHADS-VASc to weigh up risk of clotting vs bleeding
Rockall score
- Estimate risk of re-bleeding or death in patients with upper GI bleed
- Pre and post endoscopy
- Components inc age, liver/renal problems/metastasis, stigmata of bleed on endoscopy
Identifies low risk patients for discharge
POSSUM score
- Estimates morbidity and mortality in general surgery patients
- Inc cardiac, respiratory problems, systolic BP, age etc
NELA score
- National emergency laparotomy audit
- Risk of mortality undergoing emergency laparotomy
- Inc patients age, blood results, basic obs, urgency of surgery
Ranson score
- Assess severity and prognosis of acute pancreatitis
- Based on initial presentation and over next 48hrs
- Values inc WCC, blood glucose, calcium, LDH
ROME score
- Criteria for diagnosing functional GI disorders eg IBS, functional dyspepsia
- IBS includes abdominal pain at least once/week for last 3 months related to defecation, frequency of stool change and consistency of stool change
PHQ-9
- Measuring severity of depression
- Based on little interest in things, problems with sleep, appetite etc
0-4: Minimal or no depression
5-9: Mild depression
10-14: Moderate depression
15-19: Moderately severe depression
20-27: Severe depression
GAD-7 score
- Screening and assessment of severity of generalised anxiety disorder
- Components inc feeling on edge, unable to control worry, trouble relaxing, easily irritable etc
0-4: Minimal anxiety
5-9: Mild anxiety
10-14: Moderate anxiety
15-21: Severe anxiety
FAST score
- Identifies individuals consuming alcohol at hazardous levels
Includes:
* How often do you have six or more drinks on one occasion?
* How often during the last year have you been unable to remember what happened the night before because you had been drinking?
* How often during the last year have you failed to do what was normally expected of you because of drinking?
GP-COG
- Assess cognitive function of older adults
Includes:
* Orientation - time, place, person
* Memory - recall list of items
* Attention and calculation - counting backwards from number
* Language - naming objects/animals
STaRTBack
- Screening tool used for lower back pain
- Identify those at risk of it becoming chronic and needing more psychological therapies to help
Includes:
* Biomedical domain - distress, disability and pain intensity
* Psychological domain - activity avoidance, anxiety, depression
* Social domain - work avoidance
Epworth score
- Assesses daytime sleepiness
- Used fo OSA and narcolepsy
Includes:
* Chance of falling asleep in different scenarios eg:
* Sitting and reading
* Watching television
* Sitting inactive in a public place eg cinema
Score 10 or more = high
Berlin
- Assess risk of OSA
Includes:
* Symptoms - snoring freq, daytime sleepiness, observed apneas
* Sleep - time taken to fall asleep, disturbances
* QOL - QOL due to sleep problems, impaired daily activities due to sleepiness
Positive scores in at least two categories are considered to be at high risk
One category are considered to be at intermediate risk.
Individuals with negative scores in all categories are considered to be at low risk for OSA.
MUST tool
- Malnutrition universal screening tool
- Components inc BMI, acute disease effect and unplanned weight loss
Low Risk (0 points): No action required.
Medium Risk (1 point): Action may be required, depending on clinical judgment and circumstances.
High Risk (2 or more points): Action is required, such as referral to a dietitian for nutritional assessment and management.
QRISK
- Estimates 10-year risk of developing cardiovascular disease (CVD), including heart attacks and strokes
Based on:
* Age
* Sex
* Ethnicity
* Systolic blood pressure
* Smoking status
* Diabetes status
* BMI
* FH heart disease
* AF
* Rheumatoid arthiritis
