Score for Predicting 30-Day Mortality for Patient Admitted to Acute Medical Service

age and gender

< 50 years old and male

0

50 to 75 years old and male

2

> 75 years old and male

4

< 55 years old and female

0

55 to 75 years old and female

2

> 75 years old and female

4

systolic blood pressure

< 70 mm Hg

4

70 to 80 mm Hg

3

81 to 100 mm Hg

2

> 100 mm Hg

0

pulse rate

pulse <= systolic blood pressure

0

pulse > systolic blood pressure

2

temperature

< 35°C

2

35 to 38.9°C

0

>= 39°C

2

respiratory rate

<= 20 breaths per minute

0

21 to 30 breaths per minute

1

> 30 breaths per minute

2

oxygen saturation

< 90%

2

90 to 94.9%

1

>= 95%

0

breathlessness at presentation

no

0

yes

1

ECG

normal

0

abnormal

2

diabetes mellitus

absent

0

present

1

mental status

coma not due to intoxication or overdose

4

altered mental status without coma, not due to intoxication or overdose, and age >= 50 years

2

other

0

new stroke on presentation

no

0

yes

3

standing or nursing home

unable to stand unaided

2

nursing home resident

2

other

0

time in bed prior to current illness

no

0

yes

2

0 to 3

very low risk

0

4 or 5

low risk

1.5%

6 or 7

average risk

4%

8, 9, 10 or 11

high risk

10%

>= 12

very high risk

30%