The early warning score of Ramathibodi Hospital in Thailand is based on the NEWS.
Parameters:
(1) respiratory rate in breaths per minute
(2) SpO2 in percent
(3) temperature °C
(4) systolic blood pressure in mm Hg
(5) heart rate in beats per minute
(6) AVPU
|
Parameter |
Finding |
Points |
|
respiratory rate |
<= 10 bpm |
3 |
|
|
11 to 20 bpm |
0 |
|
|
21 to 30 bpm |
1 |
|
|
>= 31 bpm |
2 |
|
SpO2 |
<= 84% |
3 |
|
|
85 to 89% |
2 |
|
|
90 to 92% |
1 |
|
|
>= 93% |
0 |
|
temperature |
<= 33.9°C |
3 |
|
|
34 to 34.9°C |
2 |
|
|
35 to 35.9°C |
1 |
|
|
36 to 37.9°C |
0 |
|
|
38 to 38.9°C |
1 |
|
|
>= 39°C |
2 |
|
systolic blood pressure |
<= 89 mm Hg |
3 |
|
|
90 to 99 mm Hg |
1 |
|
|
100 to 199 mm Hg |
0 |
|
|
>= 200 mm Hg |
2 |
|
heart rate |
<= 39 bpm |
3 |
|
|
40 to 49 bpm |
1 |
|
|
50 to 99 bpm |
0 |
|
|
100 to 109 bpm |
1 |
|
|
110 to 129 bpm |
2 |
|
|
>= 130 bpm |
3 |
|
AVPU |
alert |
0 |
|
|
responds to voice |
1 |
|
|
responds to pain |
P |
|
|
unresponsive |
U |
total score =
= SUM(points for all of the parameters)
Interpretation:
• minimum score: 0
• maximum score: 18
• A REWS >= 4 was associated with more serious disease.
