The Purple Book

User Tools

Site Tools

various_scores

Useful scores

NEWS2CURB-65ChildPughencephalopathyKarnofsky

1 Very fit (robust, energetic Regularly exercises)
2 Fit (no active disease, Occasionally very active)
3 Managing well (well controlled medical problems, Not regularly active
4 Very mild frailty (symptoms often limit activities, Not dependent on others daily, 'slowed’
5 Mild frailty (more evident slowing, Needs help with high level activities eg. transportation, heavy housework)
6 Moderate frailty (Needs help with ALL outside activities and housekeeping, Help with bathing)
7 Severe frailty (Completely dependent for personal care)
8 Very severe frailty (Completely dependent for personal care. Approaching end of life. Unlikely to recover from mild illness)
9 Terminally ill (Life expectancy <6/12 but not necessarily severe frailty. May still be exercising)

The Karnofsky Performance score (KPS) is primarily intended for patients with serious illnesses, especially cancer, where disease progression significantly impacts physical functioning. Used especially in oncology, palliative care, and hospice settings.

100% The patient has no complaints and is without evidence of disease
90 The patient has minor signs/symptoms, but is able to carry out his or her normal activities
80 The patient demonstrates some signs/symptoms and requires some effort to carry out normal activities
70 The patient is able to care for self, but is unable to do his or her normal activities or active work
60 The patient is able to care for self, but requires occasional assistance
50 The patient requires medical care and much assistance with self care
40 The patient is disabled and requires special care and assistance
30 The patient is severely disabled and hospitalisation is indicated; Death is not imminent
20 The patient is very ill with hospitalisation and active life‑support treatment necessary
10 The patient is moribund with fatal process proceeding rapidly
0 Dead

NEWS-2

NOT known Resp failure

Resp Rate (bpm)
O2 sat%?

NOT known Resp Failure

Temperature
systolic BP (mmHg)
Heart Rate (bpm)
Consciousness
KNOWN hypercapneic Respiratory Failure

Resp Rate (bpm)
O2 sat%? (in KNOWN hypercapneic pt's)

KNOWN hypercapneic Resp Failure

Temperature
systolic BP (mmHg)
Heart Rate (bpm)
Consciousness

CURB-65

Confusion?
Urea ›7mmol/L?
Respiratory Rate ≥30?
sBP<90 or dBP≤60mmHg?
Age ≥65yrs?

30 day mortality:
0: low risk (‹1% mortality risk)
1,2: intermediate risk (1-10% mortality risk)
3,4: high risk (›10% mortality risk)

Child Pugh score

Encephalopathy?
Ascites?
Bilirubin
Albumin
INR
Score
5 or 6 Child-Pugh A
7-9 Child-Pugh B
10-15 Child-Pugh C

Grade Description
0 Subtle changes in short-term memory, concentration and reaction time, only recognizable perhaps those closest.
1 Mild confusion or forgetfulness
Mood swings, like euphoria or anxiety.
Difficulties adding and subtracting.
Difficulties with fine motor skills, like writing.
Sleeping during the day and waking at night.
2 Clear personality changes.
Inappropriate or out-of-character behaviours.
Lethargy and apathy.
Disorientation in time (what day or year is it?).
Slurred speech (dysarthria)
3 Slow thinking and sluggish movements.
Disorientation in space (Where am I?).
Drowsiness and loss of general awareness.
Severe confusion, delirium or amnesia.
Involuntary twitching, tremors or asterixis
4 Total loss of consciousness (coma).