Some Clinical Scores

Pneumonia - CURB65

Confusion - new AMT<8/10 or disorientation T,P or P Score Significance
Urea >7 mmol/l 0-1 Mortality low (1.5%) - may be suitable for home treatment
Respiratory rate >=30/min 2 Mortality intermediate (9.2%) - consider hospital treatment
Blood pressure - SBP<90 mmHg or DBP<=60 mmHg 3-5 Mortality high (22%) - manage in hospital, consider ICU
65 - aged 65 or over    

GI bleed - Rockall score

Parameter 0 1 2 3
Age <60 60-79 ≥80
Shock None
BP >100
HR <100
BP >100
HR <100
BP <100
Co-morbidity No major CCF, IHD Renal or liver failure Metastatic malignancy
Diagnosis M-W tears, no lesion All other diagnoses Upper GI malignancy
Signs of recent bleed None or dark red spot Blood in upper gut
Adherent clot
Visible vessel
Score Mortality Rebleed
0 0% 5%
1 0% 3%
2 0.2% 5%
3 3% 11%
4 5% 14%
5 11% 24%
6 17% 33%
7 27% 44%
8+ 41% 42%

GI bleed - Glasgow Blatchford Score

Low risk criteria in the Glasgow-Blatchford score, indicating suitability for outpatient management. Of 123 patients meeting all criteria, none died or required GI intervention within 6 months.

Urea <6.5 mmol/L
Haemoglobin >=130 g/L (men) or >=120 g/L (women)
Systolic BP >=110 mmHg
Pulse <100 bpm
Absence of melaena, syncope, cardiac failure & liver disease

Acute coronary syndrome - TIMI

Age>=65 years
>3 risk factors for CAD
Known CAD (stenosis >=50%)
Aspirin use in last 7 days
Severe angina (>=2 episodes in 24 hours)
ST changes >=0.5 mm
Raised cardiac markers


Stroke - ABCD2 score

Risk of CVA in patients presenting with TIA

Risk factor Points Total score 2 day stroke risk 7 day stroke risk
Age>=60 years 1 0 0% 0%
BP elevated - sys>140mmHg or dia>90mmHg 1 1 0% 0%
Unilateral weakness 2 2 1.4% 1.7%
Speech impairment without unilateral weakness 1 3 1.3% 1.5%
Symptom duration in minutes   4 3.8% 5.5%
  >=60 2 5 5.1% 7.2%
  10-59 1 6 8.8% 12.3%
  <10 0 7 6.3% 10.6%
Diabetes 1
Total possible 7

Stroke - Recognition of Stroke in the Emergency Room (ROSIER)

Score>0 had 93% sensitivity and 83% specificity.

Clinical feature Present Absent
Syncope or loss of consciousness -1 0
Seizure activity -1 0
Asymmetrical facial weakness 1 0
Asymmetrical arm weakness 1 0
Asymmetrical leg weakness 1 0
Speech disturbance 1 0
Visual field defect 1 0