ICU Decoded

ICU · Scoring chapter

ICU Clinical Scores

Choose an assessment, enter the required values, and see the final result with its component points. Every tool identifies its source and version.

For adult clinical assessment. Check the population, timing and units before use. Scores support clinical judgement; they do not replace diagnosis or determine treatment by themselves.

37 tools

General ICU & sepsisSOFA (original)Quantify dysfunction across six organ systems.1996 / Sepsis-3 2016 General ICU & sepsisqSOFAIdentify an increased risk of poor outcome in adults with suspected infection.Sepsis-3, 2016 General ICU & sepsisNEWS2Track physiological deterioration using the National Early Warning Score 2.Royal College of Physicians, 2017 General ICU & sepsisSIRS criteriaCount systemic inflammatory response criteria.ACCP/SCCM, 1992 General ICU & sepsisSOFA-2Updated assessment of six organ systems, including modern organ support.2025 consensus and validation General ICU & sepsisAPACHE IICalculate acute physiology, age and chronic health points.Knaus et al., 1985 General ICU & sepsisSAPS IICalculate the Simplified Acute Physiology Score II.Le Gall et al., 1993 Respiratory & pulmonary embolismCURB-65Assess mortality risk in community-acquired pneumonia.Lim et al., 2003 Respiratory & pulmonary embolismCRB-65Assess mortality risk in community-acquired pneumonia.Lim et al., 2003 Respiratory & pulmonary embolismSimplified PESIIdentify the lower-risk sPESI group in confirmed acute PE.Jiménez et al., 2010 Respiratory & pulmonary embolismPESICalculate the original Pulmonary Embolism Severity Index and class.Aujesky et al., 2005 CardiovascularHEARTStratify acute chest pain using history, ECG, age, risk factors and troponin.HEART authors’ scoring chart CardiovascularTIMI — UA/NSTEMISummarise short-term ischaemic risk in unstable angina or NSTEMI.Antman et al., 2000 CardiovascularCHA₂DS₂-VAAssess thromboembolic risk in atrial fibrillation without the sex category.ESC atrial fibrillation guideline, 2024 CardiovascularCHA₂DS₂-VAScCalculate the established AF stroke-risk score including sex category.Lip et al., 2010 / US AF guideline 2023 CardiovascularHAS-BLEDIdentify bleeding risk factors during AF anticoagulation assessment.Pisters et al., 2010 Neurology, sedation & deliriumGlasgow Coma ScaleRecord eye, verbal and motor responses, then calculate the total.Structured GCS assessment Neurology, sedation & deliriumRASSAssign a sedation or agitation level from the observed response.Richmond Agitation–Sedation Scale, 2002 Neurology, sedation & deliriumCAM-ICUApply the delirium assessment algorithm; this is not an additive severity score.Vanderbilt manual, 2016 Neurology, sedation & deliriumICDSCCount delirium features observed over a nursing shift.Bergeron 2001 / Tufts worksheet 2013 Neurology, sedation & delirium4ATRapid delirium and cognitive impairment screening.Official 4AT user guide Neurology, sedation & deliriumICH ScoreSummarise initial severity of spontaneous intracerebral haemorrhage.Hemphill et al., 2001 Neurology, sedation & deliriumNIH Stroke ScaleSum a trained examiner’s NIHSS findings.Standard NIHSS (15 scored items) Clotting & thrombosis4Ts — HIT probabilityEstimate pretest probability of heparin-induced thrombocytopenia.ASH HIT guideline, 2018 Clotting & thrombosisWells — pulmonary embolismCalculate pretest probability for suspected pulmonary embolism.Original weighted Wells; two-level interpretation Clotting & thrombosisWells — DVTCalculate clinical probability of lower-limb DVT.Modified Wells; two-level interpretation (NICE NG158) Clotting & thrombosisPadua VTE riskAssess venous thromboembolism risk in medical inpatients.Barbar et al., 2010 Clotting & thrombosisSIC — sepsis-induced coagulopathyScreen for coagulopathy in sepsis.ISTH SIC 2017; Iba et al. review 2024 Clotting & thrombosisISTH overt DIC — 2025Calculate the updated overt DIC score using assay-relative D-dimer.ISTH SSC updated scoring, 2025 Gastrointestinal & liverGlasgow–BlatchfordAssess risk of needing intervention in acute upper gastrointestinal bleeding.Blatchford et al., 2000 Gastrointestinal & liverBISAPAssess early severity risk in acute pancreatitis.Wu et al., 2008 Gastrointestinal & liverChild–Turcotte–PughClassify severity of cirrhosis from five clinical and laboratory components.Standard INR-based classification Gastrointestinal & liverMELD 3.0Calculate the updated laboratory model for end-stage liver disease.Kim et al., 2021; adult formula Kidney & nutritionKDIGO AKI stageDetermine the highest acute kidney injury stage from creatinine, urine output and renal support.KDIGO AKI guideline, 2012 Kidney & nutritionmNUTRICCalculate nutrition risk in critically ill adults.Modified NUTRIC (without IL-6), 2015/2016 Endocrine & traumaBurch–Wartofsky — thyroid stormQuantify features suggestive of thyroid storm.Burch and Wartofsky, 1993 Endocrine & traumaABC — major trauma bleedingSupport rapid assessment for massive transfusion in trauma.ACS TQIP Massive Transfusion in Trauma, 2014

This chapter covers commonly used adult ICU scores, risk models and assessment scales. Versions remain separate when their rules differ. Paediatric, neonatal and obstetric models are outside this chapter. Some scores are established older models, not newly issued guidelines.

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