Simplified Acute Physiology Score for ICU Patients Calculator

is a score used to assess the severity of a patient and is one of the scores used in intensive care and resuscitation. The parameters to be taken into account are the most serious parameters collected during the 24 hours following admission to intensive care.

Was designed for patients admitted to Intensive care units aged 18 or more.

The point score is calculated from 12 physiological variables and 3 disease-related variables during the first 24 hours, information about previous health status and some information obtained at admission.

The calculation method is optimized for paper schemas. In contrast to APACHE II, the resulting value is much better at comparing patients with different diseases.

The calculation method results in a predicted mortality, that is pure statistics. It does not tell the individual patient's chance of survival. The main purpose of this calculation is to provide a value that can be averaged for a group of patients, since it gives very unprecise values to calculate an average of the scores of a group of patients.

Age
	0 - Age ≤ 39 years
	7 - Age ≥ 40 years and ≤ 59 years
	12 - Age ≥ 60 years and ≤ 69 years
	15 - Age ≥ 70 years and ≤ 74 years
	16 - Age ≥ 75 years and ≤ 79 years
	18 - Age ≥ 80 years
Heart rate
Note the worst value during the first 24 hours
	11 - rate < 40/mn.
	2 - rate ≥ 40/mn and < 70/mn.
	0 - rate ≥ 70/mn and < 120/mn.
	4 - rate ≥ 120/mn and < 160/mn.
	7 - rate ≥ 160/mn.
Systolic Blood Pressure
	13 - SBP < 70 mmHg.
	5 - SBP ≥ 70 mmHg and < 100 mmHg.
	0 - SBP ≥ 100 mmHg and < 200 mmHg.
	2 - SBP ≥ 200 mmHg.
Temperature
	0 - Temperature < 39°C.
	3 - Temperature ≥ 39°C.
PaO₂/FiO₂ ratio
Only for a ventilated patient or under CPAP / NIV
	Patient neither ventilated nor on CPAP/NIV
	11 - PaO₂/FiO₂ < 100 mmHg.
	9 - PaO₂/FiO₂ ≥ 100 mmHg and < 200 mmHg.
	6 - PaO₂/FiO₂ ≥ 200 mmHg.
Diuresis
	11 - Diuresis < 500 ml/24h.
	4 - Diuresis ≥ 500 ml/24h and < 1000 ml/24h.
	0 - Diuresis ≥ 1000 ml/24h.
Blood urea
	0 - urea < 10 mmol/l (0,6 g/l).
	6 - urea ≥ 10 mmol/l (0,6 g/l) and < 30 mmol/l (1,8 g/l).
	10 - urea ≥ 30 mmol/l (1,8 g/l).
Leukocytes
	12 - Leukocytes < 1 000 / mm³.
	0 - Leukocytes ≥ 1 000 / mm³ and < 20 000 / mm³.
	3 - Leukocytes ≥ 20 000 / mm³.
Kalemia
	3 - Kalemia < 3 mmol/l.
	0 - Kalemia ≥ 3 mmol/l and < 5 mmol/l.
	3 - Kalemia ≥ 5 mmol/l.
Natremia
	5 - Natremia < 125 mmol/l.
	0 - Natremia ≥ 125 mmol/l and < 145 mmol/l.
	1 - Natremia ≥ 145 mmol/l.
Bicarbonates HCO₃^-
	6 - HCO₃^- < 15 mmol/l.
	3 - HCO₃^- ≥ 15 mmol/l and < 20 mmol/l.
	0 - HCO₃^- ≥ 20 mmol/l.
Total bilirubin
	0 - bilirubin < 68,4 µmol/l (40 mg/l).
	4 - bilirubin ≥ 68,4 µmol/l (40 mg/l) and ≤ 106,6 µmol/l (60 mg/l).
	9 - bilirubin > 102,6 µmol/l (60 mg/l).
Awareness, Glasgow score
If the patient is sedated, take the value before sedation
	26 - Glasgow ≥ 3 and ≤ 5.
	13 - Glasgow ≥ 6 and ≤ 8.
	7 - Glasgow ≥ 9 and ≤ 10.
	5 - Glasgow ≥ 11 and ≤ 13.
	0 - Glasgow ≥ 14 and ≤ 15.
Chronic diseases
	0 - None or not defined below
	17 - AIDS (HIV positive patient with clinical complications such as Pneumocyctis pneumonia, Kaposi's sarcoma, lymphoma, tuberculosis, Toxoplasma infection)
	10 - Hematological malignancies (lymphoma, acute leukemia, multiple myeloma).
	9 - Metastasized cancers (whose metastases have been proven by surgery, scanner or any other method)
Type of Admission
	0 - Scheduled surgery
	6 - Medical reason
	8 - Emergency surgery

Simplified Acute Physiology Score for ICU Patients Calculator

Simplified Acute Physiology Score for ICU Patients Calculator

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