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ECG: Heart RateCardiology, EmergencyGlomerulosclerosis on Biopsy (2015)Nephrology • Differentiate glomerulosclerosis from kidney disease rather than agingROKS - Recurrence Of Kidney Stone (2014)Nephrology, Urology • Predict risk of recurrent kidney stonesSolitary Pulmonary Nodule Malignancy RiskRespirologyA-a GradientEmergency, Respirology, Critical CareABCD² ScoreNeurology / Neurosurgery, Geriatrics • Guide admission in TIA based on ABCD² ScoreAccess RecirculationNephrologyInfarct Size - AnteriorCardiology, EmergencyInfarct Size - InferiorCardiology, EmergencyAnion GapEmergency, Nephrology • Calculate anion gap for use in acid-base disorders.APACHE IIGastroenterology, Critical Care, Anesthesiology • Estimate mortality in the critically ill.APGAREmergency, Pediatrics • Newborn assessmentAR: Quantification (Volumetric)CardiologyAR: Regurgitant Orifice (PISA)CardiologyAS: Aortic Valve Area (Cont)Cardiology • Estimate aortic valve area.AS: Aortic Valve Area (DVI)Cardiology • Estimate aortic valve area.AS: Aortic Valve Area (Gorlin)Cardiology • Estimate aortic valve area.AS: Aortic Valve Area (Hakki)Cardiology • Estimate aortic valve area.Autoimmune Hepatitis DiagnosisGastroenterologyAVM Rupture RiskNeurology / NeurosurgerySurgery in Asymptomatic Aortic StenosisCardiology, Cardiac Surgery • Assess timing of surgery in severe, asymptomatic aortic stenosis.PCI mortality - Canada ScoreCardiologyBishop ScoreObstetrics • Predict whether induction of labor will be required.Blatchford ScoreGastroenterology • Assess if intervention is required for acute upper GI bleeding.Bleeding Risk in Atrial Fibrillation: OBRICardiology • The Outpatient Bleeding Risk Index (OBRI) estimates risk of bleeding in AF while on oral anticoagulation.BMI/BSA (Mosteller)General Calculators, Hematology, Oncology, Anesthesiology • Calculate Body Surface Area when dosing drugsBODE Index for COPDRespirology • Estimate prognosis in COPDBMI/BSA (Du Bois)General Calculators, Hematology, Oncology, AnesthesiologyPretest Probablity of CADCardiologyCanadian CT Head RuleEmergency, Neurology / Neurosurgery, Orthopedics, Surgery, Medical Imaging • Determine which minor head injury patients need head CT imagingCanadian C-Spine RuleEmergency, Neurology / Neurosurgery, Orthopedics, Medical Imaging • Determine whether cervical spine imaging can be safely avoidedHEART Score | Chest pain in the ERCardiology • Risk stratify patients with chest pain in the ERBC Cardiac Surgical Intensive Care ScoreCardiology, Cardiac Surgery • Predict mortality after cardiac surgery based on preoperative and intraoperative variables assessed at admission to a cardiac surgery ICU.ACC/AHA CV Risk Calculator (2013)Cardiology, Preventive Medicine, Anesthesiology, Geriatrics • Estimate 10-year risk for atherosclerotic cardiovascular diseaseCHADS2 Score for AFCardiology, Emergency, Neurology / Neurosurgery, Geriatrics • Assess risk of stroke in atrial fibrillationCHA2DS2-VASc Score for AFCardiology, Emergency, Geriatrics • Alternative to CHADS2 for stroke prediction in A FibFramingham CHF CriteriaCardiologyChild Pugh ScoreEmergency, Infectious Disease, Gastroenterology, Critical Care • Determine severity of cirrhosis.CMML Prognostic Scoring Systems (from Spain and Dusseldorf)Hematology, Oncology • Assess risk of progression to AML and early mortality in CMML.Contrast Nephropathy Post-PCI (Creatinine)NephrologyContrast Nephropathy Post-PCI (eGFR)NephrologyECG: Corrected QTCardiology, EmergencyCorticosteroid EquivalenceRespirologyCerebral Perfusion PressureNeurology / Neurosurgery, Critical CareCrCl Cockroft-GaultNephrologyCrCl from 24h UrineNephrology • Calculate creatinine clearance from a 24h urine collection.CRUSADE Score for Post-MI Bleeding RiskCardiology • Estimate bleeding risk after NSTEMI. CT Severity Index (Pancreatitis)Gastroenterology, Medical Imaging • Predict complication and mortality rate in pancreatitis, based on CT findings.Dialysis Risk After Cardiac Surgery (Cleveland Clinic Score by Thakar)Cardiology, Nephrology, Cardiac Surgery • Estimate risk of dialysis after cardiac surgery.ECG: Cycle LengthCardiology, EmergencyDialysis Risk After Cardiac Surgery (Mehta)Cardiology, Nephrology, Cardiac Surgery • Estimate the risk of dialysis after cardiac surgery (Mehta model)Discriminant Function (Alcoholic Hepatitis)GastroenterologyDiffuse Large B-Cell Lymphoma Prognosis (R-IPI)Hematology, Oncology • Determine prognosis in diffuse large B-cell lymphomaDubbo Osteoporotic Fracture RiskEndocrinology, Geriatrics • Assess risk of osteoporotic fractureDuke Criteria for EndocarditisCardiology, Infectious Disease • Diagnose endocarditisDuke Treadmill ScoreCardiologyDVT Clinical Probability (Well's)Emergency, Urology, Respirology, Hematology, Orthopedics, Critical Care, Medical Imaging • Determine pretest probability of DVT to guide workupSyncope - EGSYS ScoreCardiology, Geriatrics • Which patients with syncope should be admitted?Ejection Fraction (Simplified)CardiologyEmory Model (TIPSS)GastroenterologyEthmoid Sinus CarcinomaOncology, Otolaryngology (ENT)Hypopharyngeal CarcinomaOncology, Otolaryngology (ENT)Lund-Mackay Sinusitis StageInfectious Disease, Otolaryngology (ENT) • Assess severity of chronic rhinosinusitis and assess response to therapy.Maxillary Sinus CarcinomaOncology, Otolaryngology (ENT)Mucosal MelanomaOncology, Otolaryngology (ENT)Nasopharyngeal CarcinomaOncology, Otolaryngology (ENT)Oral Cavity CarcinomaOncology, Otolaryngology (ENT)Oropharyngeal CarcinomaOncology, Otolaryngology (ENT)Salivary Gland CarcinomaOncology, Otolaryngology (ENT)Thyroid Carcinoma: AnaplasticOncology, Otolaryngology (ENT)Thyroid Carcinoma: MedullaryOncology, Otolaryngology (ENT)Thyroid Carcinoma: Well-DifferentiatedOncology, Otolaryngology (ENT)Epworth Sleepiness ScaleRespirology • Screen for excessive sleepiness or follow response to treatment for a sleep disorder.Pulmonary Embolism Severity Index (PESI)Emergency, Urology, Respirology, Hematology, Orthopedics, Critical Care • Predict outcome in patients with pulmonary embolismExercise Capacity (METs)CardiologySAH Fisher GradeNeurology / NeurosurgeryFollicular Lymphoma prognosisHematology, Oncology • Determine prognosis in follicular lymphoma.Forrester HF ClassCardiologyForrest ClassificationGastroenterology • Estimate risk of re-bleeding post-endoscopy for upper GI bleeding.Fosphenytoin LoadNeurology / NeurosurgeryFOUR ScoreNeurology / NeurosurgeryFractional ShorteningCardiologyFractional Excretion of SodiumEmergency, Nephrology • Differentiate pre-renal AKI from ATN.Fractional Excretion of UreaNephrology • Identify a "pre-renal" state in patients using diureticsLipid Lowering Guidelines using Framingham (2008)EndocrinologyLipid Lowering Guidelines using Framingham (ATP-III)EndocrinologyMortality in IPF (GAP Index)RespirologyGlasgow Coma Scale (GCS)Neurology / Neurosurgery, Surgery, Critical Care, Anesthesiology • Document level of consciousness.Risk of Graft Failure at 5-Years, Predicted 1 Year Post TransplantNephrologyRisk of Graft Failure at 5-Years, Predicted 7 Days Post TransplantNephrologyRisk of Graft Failure at 5-Years, Predicted at Time of TransplantNephrologyAcute GVHD GradingHematology, Oncology • Determine severity in acute graft versus host disease.Bleeding Risk in Atrial Fibrillation: HAS-BLED ScoreCardiology, Geriatrics • Understand the risk of bleeding from anticoagulation in atrial fibrillationHodgkin's Disease | PrognosisHematology, Oncology • Estimate prognosis in Hodgkin's disease.Hematopoietic cell transplantation - specific comorbidity index (HCT-CI)Hematology, OncologyMDS Revised - International Prognostic Scoring System (IPSS-R)Hematology, Oncology • Assess mortality and progression to acute myeloid leukemia in myelodysplastic syndromeHemodynamics (Echo)CardiologyCardiac Output - FickCardiology, Critical Care, AnesthesiologyHenderson-HasselbalchNephrologyHIT 4T's scoreHematology, Cardiac Surgery • Diagnose heparin-induced thrombocytopenia.Hodgkin's Marrow InvolvementHematology, Oncology • Estimate likelihood of bone marrow involvement in Hodgkin's lymphoma.SAH Hunt & Hess ScaleNeurology / NeurosurgeryICH FUNC ScoreNeurology / NeurosurgeryICH ScoreNeurology / NeurosurgeryICH VolumeNeurology / NeurosurgeryMetabolic Syndrome (IDF)CardiologyIn-flight PaO₂ (based on ABG)RespirologyIn-flight PaO₂ (ABG & PFT)RespirologyMDS Intnl Prognostic Scoring Sys (IPSS)Hematology, OncologyMultiple Myeloma Prognosis (ISS)Hematology, OncologyKidney Failure Risk Equation (8 Variable)Nephrology • Estimate risk of progression to end-stage renal disease in CKD patients using 8 variables.Killip ClassCardiology, Emergency, Critical CareKt/V from PRUNephrologyKt/V DaugirdasNephrologyLaryngeal Carcinoma: GlotticOncology, Otolaryngology (ENT)Laryngeal Carcinoma: SubglotticOncology, Otolaryngology (ENT)Laryngeal Carcinoma: SupraglotticOncology, Otolaryngology (ENT)Left Atrial Systolic PressureCardiologyLV/RV Contractility (dp/dt)CardiologyMASCC Febrile Neutropenia RiskInfectious Disease, Hematology, Oncology • Assess risk in febrile neutropenia and appropriateness for outpatient management6-Month Mortality on HDNephrology • Estimate 6 month mortality on dialysisHome HD Candidacy (MATCH-D)NephrologyPD Candidacy (MATCH-D)Nephrology • Assess candidacy for peritoneal dialysisMayo Quadratic eGFRNephrologyPCI complication - MayoCardiologyMDRD eGFREmergency, Nephrology • Calculate eGFR using the MDRD formulaMDRD eGFR (6 Variable)NephrologyMDS Anemia - EPO/GCSF ResponseHematology, Oncology • Identify those with MDS likely to respond to stem-cell factors.MDS WHO Classification-based Prognostic Scoring System (WPSS)Hematology, Oncology • Estimate survival and risk of transformation to AML in myelodysplastic syndrome.MELD ScoreEmergency, Infectious Disease, GastroenterologyMELD Score - Alcoholic HepatitisGastroenterologyHamilton Depression Rating Scale (HAM-D or HDRS)Mental Health, GeriatricsSNAP-IV 26 - Teacher & Parent Rating ScalePediatrics, Mental Health • Assess children for attention deficit hyperactivity disorder (ADHD)MGUS PrognosisHematology, Oncology, Geriatrics • Determine risk of malignant progression to myleoma or lymphoproliferative disorder.MIPI - Mantle Cell Lymphoma PrognosisHematology, Oncology • Estimate prognosis in mantle cell lymphoma.Modified Bernoulli EquationCardiologyModified Fisher ScaleNeurology / NeurosurgeryModified Rankin Scale (mRS)Neurology / NeurosurgeryModified Strep ScoreOtolaryngology (ENT)MR: Quantification (PISA)CardiologyMR: Quantification (Volumetric)CardiologyMS: Wilkins' Echo ScoreCardiologyMS: Mitral Valve Area (Cont)CardiologyMS: Mitral Valve Area (Gorlin)CardiologyMS: Mitral Valve Area (PHT)CardiologyMS: Mitral Valve Area (PISA)CardiologyMS: Mitral Valve Area (Hakki)CardiologyMyocardial Performance Index (CO and ET)CardiologyMyocardial Performance Index (IVRT and IVCT)CardiologyNasal Cannula FiO₂ EstimationRespirologyNEXUS C-Spine CriteriaEmergency, Neurology / Neurosurgery, Orthopedics, Surgery, Medical Imaging • Determine whether cervical spine imaging can be safely avoidedNSCLC StageRespirology, OncologyTIMI Risk Score (NSTEMI)Cardiology, Emergency, Critical Care • Guide therapeutic decisions in non-ST elevation MI. Carboplatin AUC Dosing (Calvert)OncologyPrognosis in Renal Cell Carcinoma (UISS)Urology, Oncology • Estimate survival in renal cell carcinomaOsmolal GapEmergency, Nephrology • Detect unmeasured osmoles, such as toxic alcoholsOttawa Ankle RulesEmergency, Orthopedics, Medical Imaging • Does this ankle injury require an x-ray?Ottawa Knee RulesEmergency, Orthopedics, Surgery, Medical Imaging • Does this knee injury require an x-ray?PaO₂:FiO₂ RatioRespirologyParkland FormulaEmergency, Surgery, Critical Care • Manage IV fluids required in burnsPCI mortality - MichiganCardiologyPCWP (Echo)CardiologyPE Clinical ProbabilityEmergency, Urology, Respirology, Hematology, Orthopedics, Critical Care, Medical Imaging • Determine pretest probability of PE to guide workupPeak Expiratory Flow PredictionEmergency, RespirologyPediatric Endotracheal Tube SizeEmergency, Pediatrics, AnesthesiologyPediatric Glasgow Coma ScaleEmergency, Neurology / Neurosurgery, PediatricsPediatric Strep ScoreEmergency, Infectious Disease, PediatricsPELD ScoreEmergency, Pediatrics, GastroenterologyDisability Rating Scale (DRS)Physical Medicine and RehabilitationModified Ashworth Scale (MAS)Physical Medicine and RehabilitationNational Pressure Ulcer Advisory Panel Staging System (NPUAP)Physical Medicine and RehabilitationDIPSS Prognosis in MyelofibrosisHematology, Oncology • Estimate prognosis in myelofibrosis.Pneumonia risk (CURB-65)Emergency, Respirology, Infectious Disease, Critical Care, Geriatrics • Estimate prognosis and determine disposition in community-acquired pneumonia.Pulmonary ResistanceCardiology, Critical CareRanson's CriteriaEmergency, Gastroenterology, Critical Care • Estimate mortality in patients with pancreatitis. Rate Pressure ProductCardiologyReynolds CAD RiskCardiologyAlcoholism - Risk of RelapseGastroenterologyAlcohol Relapse Risk after Liver TransplantGastroenterologyRevised Cardiac Risk Index (Lee Criteria)Cardiology, Anesthesiology • Rapid pre-op assessment using the Revised Cardiac Risk IndexAdult Onset Still's Disease, Diagnostic CriteriaRheumatology • Diagnose Adult Onset Still's Disease.Simplified Disease Activity Index for RA (SDAI)Rheumatology • Assess disease activity in rheumatoid arthritis.Membranous PrognosisNephrology • Estimate risk of progressive renal dysfunction in membranous nephropathyRockall ScoreGastroenterology • Estimate risk of mortality after endoscopy for GI bleed.RV Systolic Pressure (TR Jet)CardiologyModified SAD PERSONS ScaleEmergency, Mental Health • Assess depression with the modified SAD PERSONS ScaleSeattle Heart Failure ModelCardiologyShunt Fraction (Echo)CardiologyShunt Fraction (Invasive)Cardiology, Critical CareSmoldering Multiple Myeloma PrognosisHematology, Oncology • Determine risk of progression to symptomatic multiple myeloma.Spetzler-Martin ScoreNeurology / NeurosurgeryTIMI Risk Score (STEMI)Cardiology, Emergency, Critical CareStevenson HF ClassCardiologySystemic Vascular ResistanceCardiology, Critical Caret-PA Dosing in Acute StrokeNeurology / NeurosurgeryTICI ScoreNeurology / NeurosurgeryTranstubular K GradientNephrology • Workup hypokalemia and hyperkalemiaPercent Reduction of UreaNephrologyVALIANT Heart Failure Risk ScoreCardiologyAsymptomatic ICA (Internal Carotid Artery) Stenosis Surgical Risk StratificationCardiology, Neurology / Neurosurgery, Vascular Surgery, AnesthesiologyWarfarin Bleeding Risk - ElderlyCardiology, Geriatrics • Estimate 90 day risk of bleeding in patients on warfarin who are >65 yearsWater Deficit in HypernatremiaEmergency, Nephrology, Geriatrics • Determine water replacement in hypernatremiaWestley Croup ScoreEmergency, Infectious Disease, Pediatrics • Assess croup severityWFNS SAH ScaleNeurology / NeurosurgeryBefore Induction of AnaesthesiaUrology, Vascular Surgery, Surgery • Reduce peri-operative death with the WHO Surgical Safety Checklist - 1st step.Before Patient Leaves ORUrology, Vascular Surgery, Surgery • Last step in the surgical safety checklistBefore Skin IncisionUrology, Vascular Surgery, Surgery • 2nd step in the surgical safety checklistMembrane Transport TypeResidual Urea ClearancePatient Characteristics?PD PrescriptionFINDRISC Diabetes Risk CalculatorEndocrinology • Estimate risk of developing diabetes and frequency of screening required.Due Date by LMPObstetrics, Medical Imaging, Anesthesiology • Pregnancy due date calculatorDue Date by UltrasoundObstetrics, Medical Imaging, Anesthesiology • Determine pregnancy due date using ultrasound results.Gestational AgeObstetrics, Medical ImagingGupta Perioperative Cardiac RiskCardiology, Urology, Surgery • Determine peri-operative risk for a wide array of surgeries.Ideal Body WeightGeneral CalculatorsPhenytoin Adjustment in Renal FailureNephrology, Neurology / NeurosurgeryPneumonia Severity Index (PORT Score)Respirology, Infectious Disease, Critical Care, Geriatrics • Determine need for admission in pneumoniaSerum Ascites to Albumin Gradient (SAAG)Gastroenterology • Determine if ascites due to portal hypertension.Mangled Extremity Severity Score (MESS)Orthopedics, Surgery • Assess limb-salvage potential in trauma to the extremity.eGFR using CKD-EPINephrology, Geriatrics • Calculate eGFR using the CKD-EPI formulaFramingham Risk Score (2008)CardiologyFramingham Risk Score (ATP-III)Cardiology • Determine lipid treatment using Framingham Risk ScorePostoperative Respiratory Failure Risk CalculatorUrology, Respirology, Obstetrics, Orthopedics, Otolaryngology (ENT), Vascular Surgery, Surgery, Critical Care, Anesthesiology • Estimate risk of postoperative respiratory failureCalcium Correction for HypoalbuminemiaNephrology, Endocrinology • Adjust serum calcium in the setting of low albumin.Sequential Organ Failure Assessment (SOFA)Cardiac Surgery, Critical Care, Anesthesiology • The Sequential Organ Failure Assessment score documents clinical severity in the ICU and predicts mortalityAlvarado Score for Acute AppendicitisEmergency, Surgery • Diagnose appendicitisCIWA-ArEmergency, Mental Health, Critical Care • Optimize benzodiazepine treatment of patients alcohol withdrawalPatient Health Questionnaire-9 (PHQ-9)Mental Health, Geriatrics • Screening tool to assist in identifying major depressive disorderDRAGON Score for Post-TPA Stroke OutcomeNeurology / Neurosurgery, Physical Medicine and Rehabilitation • The DRAGON Score predicts outcome at 3 months in ischemic stroke patients receiving tPA.NIH Stroke Scale/Score (NIHSS)Neurology / Neurosurgery • NIH Stroke Scale provides an assessment for stroke severity.SLICC SLE CriteriaRheumatology • The SLICC criteria are validated criteria for making the diagnosis of lupus.DAS28-CRP for Rheumatoid Arthritis Rheumatology • Assess disease activity in rheumatoid arthritis.DAS28-ESR for Rheumatoid Arthritis Rheumatology • Assess disease activity in rheumatoid arthritis.Geriatric Depression ScaleMental Health, Geriatrics • A questionnaire to screen for depression in geriatric populationsJones Criteria for Diagnosis of Rheumatic FeverCardiology, Infectious Disease, Rheumatology • Diagnose acute rheumatic feverClinical Disease Activity Index for RA (CDAI)Rheumatology • Assess disease activity in rheumatoid arthritis, without requiring lab work.Surgical Apgar ScoreVascular Surgery, Surgery • Assess surgical risk of complications or death at 30 days, as assessed in the post-operative period.Schwartz Pediatric Bedside eGFR (2009)Nephrology • The revised "bedside" pediatric eGFR requires only serum creatinine and height.Schwartz Pediatric eGFR, Full Model (2009)Nephrology • The full Schwartz pediatric eGFR calculation requires height, serum creatinine, cystatin C, blood urea nitrogen and gender.VSGNE Ruptured Abdominal Aortic Aneurysm (RAAA) Risk ScoreEmergency, Vascular Surgery, Anesthesiology • Estimate mortality after open repair of ruptured AAA.Euroscore IICardiac Surgery • Estimate risk of in-hospital death after cardiac surgery.3-Month Mortality in Incident Elderly ESRD PatientsNephrology, Geriatrics • Estimate the risk of early death (at 3 months) in elderly patients starting dialysis.Pre-test probability of CAD (CAD consortium)Cardiology, Emergency, Anesthesiology • Determine pre-test probability of coronary artery disease in patients with chest pain.ASDAS-CRP (Ankylosing Spondylitis Disease Activity Score)Rheumatology • Assess disease activity in Ankylosing Spondylitis.ASDAS-ESR (Ankylosing Spondylitis Disease Activity Score)Rheumatology • Assess disease activity in Ankylosing Spondylitis.Predicting 3 Year Survival for Incident Elderly ESRD PatientsNephrology, Geriatrics • Determine appropriateness for transplant referral in elderly patients starting dialysisDiffuse Large B-cell Lymphoma Prognosis (IPI24)Hematology, Oncology • Determine prognosis in diffuse large B-cell lymphoma.Aortic Stenosis Risk ScoreCardiology, Cardiac Surgery • Estimate risk of cardiovascular events in patients with aortic stenosisOttawa SAH Inclusion & ExclusionOttawa SAH RuleEmergency, Neurology / Neurosurgery • Use the Ottawa SAH Rule to rule out subarachnoid hemorrhageBASDAIRheumatology • Assess disease activity in Ankylosing SpondylitisVasculitis Damage Index (VDI)Rheumatology • Document any organ damage that has occurred in patients since the onset of vasculitisKidney Failure Risk Equation (4 Variable)Nephrology • Estimate risk of progression to end-stage renal disease in CKD patients using age, sex, eGFR and proteinuria.Diffuse Large B-cell Lymphoma Prognosis (NCCN-IPI)Hematology, Oncology • Estimate prognosis in diffuse large B-cell lymphoma.CAM-ICUNeurology / Neurosurgery, Critical Care • Diagnose delirium in the intensive care unit.The Richmond Agitation Sedation Score (RASS)Neurology / Neurosurgery, Critical Care • Assess level of consciousness in the intensive care unit.Bleeding Risk in Atrial Fibrillation: ATRIA Cardiology • Estimate bleeding risk for patients on warfarin.DIPSS Plus Score for Prognosis in MyelofibrosisHematology, Oncology • Estimate prognosis in myelofibrosis.Vascular Quality Initiative (VQI) Cardiac Risk Index (CRI) | Carotid EndarterectomyCardiology, Vascular Surgery • Use the Vascular Study Group of New England Cardiac Risk Index (VSG-CRI) to estimate post-op myocardial infarction after carotid endarterectomyGAD-7 Anxiety ScaleMental Health, Geriatrics • Screen for generalized anxiety disorderPolymyalgia Rheumatica (2012 EULAR/ACR Provisional Criteria)Rheumatology, Geriatrics • Review EULAR/ACR criteria for polymyalgia rheumaticaScleroderma/Systemic Sclerosis (2013 EULAR/ACR Criteria)Rheumatology • Review EULAR/ACR criteria for sclerodermaSan Francisco Syncope RuleCardiology, Geriatrics • Identify those at low risk of adverse outcome after a syncopal episodeVascular Quality Initiative (VQI) Cardiac Risk Index (CRI) | EVARCardiology, Vascular Surgery • Use the Vascular Quality Initiative Cardiac Risk Index (VSG-CRI) to estimate post-op myocardial infarction after EVARVascular Quality Initiative (VQI) Cardiac Risk Index (CRI) | Infra-inguinal BypassCardiology, Vascular Surgery • Use the Vascular Quality Initiative Cardiac Risk Index (VSG-CRI) to estimate post-op myocardial infarction after infra-inguinal bypassVascular Quality Initiative (VQI) Cardiac Risk Index (CRI) | Open AAA RepairCardiology, Vascular Surgery • Use the Vascular Quality Initiative Cardiac Risk Index (VSG-CRI) to estimate post-op myocardial infarction after open AAA repairVQI: Respiratory Adverse Event Risk Post Vascular SurgeryRespirology, Vascular Surgery • Estimate the risk of pneumonia or respiratory failure after vascular surgeryFIB-4 for Noninvasive Diagnosis of Hepatic FibrosisGastroenterology • Non-invasively identify hepatic fibrosisAPRI (AST to Platelet Ratio Index)Gastroenterology • Assess likelihood of fibrosis or cirrhosis non-invasively using AST and platelet count.PERC Rule for Pulmonary EmbolismEmergency, Urology, Respirology, Hematology, Medical Imaging • Use the PERC rule to rule out PE if no criteria are present and pre-test probability is <15%.RPDAI (Relapsing Polychondritis Disease Activity Index)Cardiology, Rheumatology • Assess disease activity in relapsing polychondritis.Revised Venous Clinical Severity ScoreVascular Surgery • Assess severity of venous disease.BISAP ScoreGastroenterology, Critical Care • Estimate disease severity in acute pancreatitis.SLEDAI-2KNephrology, Rheumatology • Assess disease activity in lupusSLICC/ACR Damage IndexRheumatology • Measure accumulated damage since onset of lupusCrohn's Disease Activity Index (CDAI)Gastroenterology, Surgery • Assess disease activity in Crohn's diseaseInternational Prostate Symptom Score (IPSS)Urology, Geriatrics • Assess severity of symptoms in benign prostatic hypertrophyMayo Early Screen for Discharge PlanningGeneral Calculators • Identify patients needing specialized discharge planning servicesMayo Score for Ulcerative Colitis ActivityGastroenterology, Surgery • Assess disease activity in ulcerative colitisNAFLD Fibrosis ScoreGastroenterology • Reduce the need for liver biopsy by identifying patients with non-alcoholic fatty liver disease likely or unlikely to have advanced fibrosisDialysis Duration Needed for Methanol IngestionNephrology • Estimate dialysis duration required for methanol poisoningDialysis Duration Needed for Ethylene Glycol IngestionNephrology • Estimate dialysis duration required for ethylene glycol poisoningTotal Body Water (Watson Formula)NephrologyAlberta Croup SeverityEmergency, Infectious Disease, PediatricsHouse BrackmannOtolaryngology (ENT)NYHA Functional ClassCardiologyTerms of Use and Privacy PolicyAnterior Dermatome MapNeurology / NeurosurgeryBlood on MRINeurology / NeurosurgeryEstimating Burn Area (Rule of Nines)Emergency, Critical CareHead and Neck Dermatome MapNeurology / NeurosurgeryPosterior Dermatome MapNeurology / NeurosurgeryTop View Dermatome MapNeurology / NeurosurgeryTerms of Use - Web
OverviewDisclaimer & Use of the Guide
Catheter Insertion and Care
Preoperative Management
IntroductionKey AssessmentsKey ActivitiesPatient EducationOutcomes Evaluation
Perioperative and Intraoperative Management
IntroductionKey AssessmentsKey ActivitiesPatient EducationOutcomes Evaluation
Postoperative Management
IntroductionKey AssessmentsKey ActivitiesPatient EducationOutcomes Evaluation
Chronic Care of Peritoneal Dialysis Catheter
IntroductionKey AssessmentsKey ActivitiesPatient EducationOutcomes Evaluation
Noninfectious Complications
Pericatheter and Subcutaneous Leaks
IntroductionKey AssessmentsKey ActivitiesPatient EducationOutcomes Evaluation
Peritoneal Catheter Obstruction
IntroductionKey AssessmentsKey ActivitiesPatient EducationOutcomes Evaluation
Hernia
IntroductionKey AssessmentsKey ActivitiesPatient EducationOutcomes Evaluation
Abdominal Discomfort During Infusion and Drain
Key AssessmentsKey ActivitiesPatient EducationOutcomes Evaluation
Pneumoperitoneum (Shoulder Pain)
IntroductionKey AssessmentsKey ActivitiesPatient EducationOutcomes Evaluation
Hemoperitoneum
IntroductionKey AssessmentsKey ActivitiesPatient EducationOutcomes Evaluation
Hydrothorax
IntroductionKey AssessmentsKey ActivitiesPatient EducationOutcomes Evaluation
Catheter Adapter Disconnect or Fracture of Peritoneal Catheter
Key AssessmentsKey ActivitiesPatient EducationOutcomes Evaluation
Infectious Complications: Peritonitis Management
Initial Empiric Management of Peritonitis
IntroductionKey AssessmentsKey ActivitiesPatient EducationOutcomes EvaluationInitial Empiric Management of PeritonitisStaphyloccocus aureus PeritonitisEnterococcus/Streptococcus PeritonitisOther Single Gram-positive Organism PeritonitisPseudomonas PeritonitisOther Single Gram-negative Organism PeritonitisPolymicrobial PeritonitisCulture-negative PeritonitisFungal PeritonitisPeritonitis Due to MycobacteriumRelapsing PeritonitisPeritonitis Terminology
Infectious Complications: Management of the Exit-site/Tunnel Infection
Introduction
IntroductionKey AssessmentsKey ActivitiesPatient EducationOutcomes EvaluationDiagnosis and Management of Exit-site/Tunnel Infection
Antibiotic Dosing Guidelines
Oral Antibiotics Used in Exit-site and Tunnel InfectionsExit-site Antibiotic ProphylaxisIntraperitoneal Antibiotic Dosing Recommendations for CAPD PatientsIntermittent Dosing of Antibiotics in Automated Peritoneal Dialysis (APD)
Appendix
Preoperative and Postoperative PD Catheter Insertion Instructions for PatientsPeritoneal ImagingPrinciples of Accurate Peritoneal Dialysis Effluent Sampling and CulturingPeritoneal Effluent Culture Laboratory ProcessingPeritonitis Rate CalculationsDifferential Diagnosis of Non-infectious Cloudy EffluentProviding for a Safe Environment for Peritoneal DialysisNormal Bacterial Flora of the Human BodyReferencesAuthor Affiliations
Maintenance of RRF
Measurement of RRFUse of Antihypertensive Agents and Diuretis to Preserve RRF
Small-Solute Clearance
Prescription and Targets
Volume Management
Maintenance of Euvolemia and Diagnosis of HypervolemiaTreatment of HypervolemiaAssessment and Management of BP
Management of CV Disease in PD Patients
Dyslipidemia
Nutrition in PD
NutritionNutritional SupplementsCorrection of Impared Anabolism, Acidosis, and Gastroparesis
Management of Hyperglycemia
Glycemic ControlGlucose-Sparing Strategies
Introduction
OverviewMethods and Process for Guideline DevelopmentFigure 1Figure 2Figure 3
Maintenance of RRF
Measurement of RRF
Overview
Use of Antihypertensive Agents and Diuretics to Preserve RRF
OverviewBackground
Research
Overview
Small-Solute Clearance
Prescriptions and Targets
OverviewBackground
Volume Management
Maintenance of Euvolemia and Diagnosis of Hypervolemia
OverviewBackground
Treatment of Hypervolemia
OverviewBackground
Assessment and Management of BP
OverviewBackground
Mangement of CV Disease in PD Patients
Dyslipidemia
OverviewBackground
Coronary Artery Disease/Chronic Heart Failure
Overview
Research
Overview
Nutrition in PD
Nutrition
OverviewBackground
Nutritional Supplements
OverviewBackground
Correction of Impaired Anabolism, Acidosis, and Gastroparesis
OverviewBackground
Research
Overview
Management of Hyperglycemia
Glycemic Control
OverviewBackground
Glucose-Sparing Strategies
OverviewBackgroundDisclosuresReferences
Anesthesiology
Cardiac Surgery
Cardiology
Aortic Stenosis/Outflow
Atrial Fibrillation
Bleeding Risk
Coronary Artery Disease
ECG
Echocardiography
Heart Failure
Hypertension
Invasive Hemodynamics
Miscellaneous
Mitral Regurgitation
Mitral Stenosis
PCI and Cardiac Surgery
Pre-operative Assessment
Risk Scores
Shunts
Syncope
Treadmill Testing
Critical Care
A-a GradientAPACHE IIEstimate mortality in the critically ill.Child Pugh ScoreDetermine severity of cirrhosis.Cerebral Perfusion PressureDVT Clinical Probability (Well's)Determine pretest probability of DVT to guide workupPulmonary Embolism Severity Index (PESI)Predict outcome in patients with pulmonary embolismGlasgow Coma Scale (GCS)Document level of consciousness.Cardiac Output - FickKillip ClassTIMI Risk Score (NSTEMI)Guide therapeutic decisions in non-ST elevation MI. Parkland FormulaManage IV fluids required in burnsPE Clinical ProbabilityDetermine pretest probability of PE to guide workupPneumonia risk (CURB-65)Estimate prognosis and determine disposition in community-acquired pneumonia.Pulmonary ResistanceRanson's CriteriaEstimate mortality in patients with pancreatitis. Shunt Fraction (Invasive)TIMI Risk Score (STEMI)Systemic Vascular ResistancePneumonia Severity Index (PORT Score)Determine need for admission in pneumoniaPostoperative Respiratory Failure Risk CalculatorEstimate risk of postoperative respiratory failureSequential Organ Failure Assessment (SOFA)The Sequential Organ Failure Assessment score documents clinical severity in the ICU and predicts mortalityCIWA-ArOptimize benzodiazepine treatment of patients alcohol withdrawalCAM-ICUDiagnose delirium in the intensive care unit.The Richmond Agitation Sedation Score (RASS)Assess level of consciousness in the intensive care unit.BISAP ScoreEstimate disease severity in acute pancreatitis.Estimating Burn Area (Rule of Nines)
Emergency
Burns
General Medicine
Injuries & Trauma
Pediatrics ER
Psychiatry
Surgery
Thrombosis
Endocrinology
Gastroenterology
General Calculators
Geriatrics
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PD Candidacy (MATCH-D)Assess candidacy for peritoneal dialysis3-Month Mortality in Incident Elderly ESRD PatientsEstimate the risk of early death (at 3 months) in elderly patients starting dialysis.Predicting 3 Year Survival for Incident Elderly ESRD PatientsDetermine appropriateness for transplant referral in elderly patients starting dialysis
REFERENCE BOOK
Access Care and Complications Management
OverviewDisclaimer & Use of the Guide
Catheter Insertion and Care
Preoperative Management
IntroductionKey AssessmentsKey ActivitiesPatient EducationOutcomes Evaluation
Perioperative and Intraoperative Management
IntroductionKey AssessmentsKey ActivitiesPatient EducationOutcomes Evaluation
Postoperative Management
IntroductionKey AssessmentsKey ActivitiesPatient EducationOutcomes Evaluation
Chronic Care of Peritoneal Dialysis Catheter
IntroductionKey AssessmentsKey ActivitiesPatient EducationOutcomes Evaluation
Noninfectious Complications
Pericatheter and Subcutaneous Leaks
IntroductionKey AssessmentsKey ActivitiesPatient EducationOutcomes Evaluation
Peritoneal Catheter Obstruction
IntroductionKey AssessmentsKey ActivitiesPatient EducationOutcomes Evaluation
Hernia
IntroductionKey AssessmentsKey ActivitiesPatient EducationOutcomes Evaluation
Abdominal Discomfort During Infusion and Drain
Key AssessmentsKey ActivitiesPatient EducationOutcomes Evaluation
Pneumoperitoneum (Shoulder Pain)
IntroductionKey AssessmentsKey ActivitiesPatient EducationOutcomes Evaluation
Hemoperitoneum
IntroductionKey AssessmentsKey ActivitiesPatient EducationOutcomes Evaluation
Hydrothorax
IntroductionKey AssessmentsKey ActivitiesPatient EducationOutcomes Evaluation
Catheter Adapter Disconnect or Fracture of Peritoneal Catheter
Key AssessmentsKey ActivitiesPatient EducationOutcomes Evaluation
Infectious Complications: Peritonitis Management
Initial Empiric Management of Peritonitis
IntroductionKey AssessmentsKey ActivitiesPatient EducationOutcomes EvaluationInitial Empiric Management of PeritonitisStaphyloccocus aureus PeritonitisEnterococcus/Streptococcus PeritonitisOther Single Gram-positive Organism PeritonitisPseudomonas PeritonitisOther Single Gram-negative Organism PeritonitisPolymicrobial PeritonitisCulture-negative PeritonitisFungal PeritonitisPeritonitis Due to MycobacteriumRelapsing PeritonitisPeritonitis Terminology
Infectious Complications: Management of the Exit-site/Tunnel Infection
Introduction
IntroductionKey AssessmentsKey ActivitiesPatient EducationOutcomes EvaluationDiagnosis and Management of Exit-site/Tunnel Infection
Antibiotic Dosing Guidelines
Oral Antibiotics Used in Exit-site and Tunnel InfectionsExit-site Antibiotic ProphylaxisIntraperitoneal Antibiotic Dosing Recommendations for CAPD PatientsIntermittent Dosing of Antibiotics in Automated Peritoneal Dialysis (APD)
Appendix
Preoperative and Postoperative PD Catheter Insertion Instructions for PatientsPeritoneal ImagingPrinciples of Accurate Peritoneal Dialysis Effluent Sampling and CulturingPeritoneal Effluent Culture Laboratory ProcessingPeritonitis Rate CalculationsDifferential Diagnosis of Non-infectious Cloudy EffluentProviding for a Safe Environment for Peritoneal DialysisNormal Bacterial Flora of the Human BodyReferencesAuthor Affiliations
REFERENCE BOOK
CSN PD Adequacy Guidelines and Recommendations 2011
Maintenance of RRF
Measurement of RRFUse of Antihypertensive Agents and Diuretis to Preserve RRF
Small-Solute Clearance
Prescription and Targets
Volume Management
Maintenance of Euvolemia and Diagnosis of HypervolemiaTreatment of HypervolemiaAssessment and Management of BP
Management of CV Disease in PD Patients
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NutritionNutritional SupplementsCorrection of Impared Anabolism, Acidosis, and Gastroparesis
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OverviewMethods and Process for Guideline DevelopmentFigure 1Figure 2Figure 3
Maintenance of RRF
Measurement of RRF
Overview
Use of Antihypertensive Agents and Diuretics to Preserve RRF
OverviewBackground
Research
Overview
Small-Solute Clearance
Prescriptions and Targets
OverviewBackground
Volume Management
Maintenance of Euvolemia and Diagnosis of Hypervolemia
OverviewBackground
Treatment of Hypervolemia
OverviewBackground
Assessment and Management of BP
OverviewBackground
Mangement of CV Disease in PD Patients
Dyslipidemia
OverviewBackground
Coronary Artery Disease/Chronic Heart Failure
Overview
Research
Overview
Nutrition in PD
Nutrition
OverviewBackground
Nutritional Supplements
OverviewBackground
Correction of Impaired Anabolism, Acidosis, and Gastroparesis
OverviewBackground
Research
Overview
Management of Hyperglycemia
Glycemic Control
OverviewBackground
Glucose-Sparing Strategies
OverviewBackgroundDisclosuresReferences
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CMML Prognostic Scoring Systems (from Spain and Dusseldorf)Assess risk of progression to AML and early mortality in CMML.Diffuse Large B-Cell Lymphoma Prognosis (R-IPI)Determine prognosis in diffuse large B-cell lymphomaFollicular Lymphoma prognosisDetermine prognosis in follicular lymphoma.Acute GVHD GradingDetermine severity in acute graft versus host disease.Hodgkin's Disease | PrognosisEstimate prognosis in Hodgkin's disease.Hematopoietic cell transplantation - specific comorbidity index (HCT-CI)MDS Revised - International Prognostic Scoring System (IPSS-R)Assess mortality and progression to acute myeloid leukemia in myelodysplastic syndromeHodgkin's Marrow InvolvementEstimate likelihood of bone marrow involvement in Hodgkin's lymphoma.MDS Intnl Prognostic Scoring Sys (IPSS)Multiple Myeloma Prognosis (ISS)MASCC Febrile Neutropenia RiskAssess risk in febrile neutropenia and appropriateness for outpatient managementMDS Anemia - EPO/GCSF ResponseIdentify those with MDS likely to respond to stem-cell factors.MDS WHO Classification-based Prognostic Scoring System (WPSS)Estimate survival and risk of transformation to AML in myelodysplastic syndrome.MGUS PrognosisDetermine risk of malignant progression to myleoma or lymphoproliferative disorder.MIPI - Mantle Cell Lymphoma PrognosisEstimate prognosis in mantle cell lymphoma.DIPSS Prognosis in MyelofibrosisEstimate prognosis in myelofibrosis.Smoldering Multiple Myeloma PrognosisDetermine risk of progression to symptomatic multiple myeloma.Diffuse Large B-cell Lymphoma Prognosis (IPI24)Determine prognosis in diffuse large B-cell lymphoma.Diffuse Large B-cell Lymphoma Prognosis (NCCN-IPI)Estimate prognosis in diffuse large B-cell lymphoma.DIPSS Plus Score for Prognosis in MyelofibrosisEstimate prognosis in myelofibrosis.
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Emergency / Respirology / Infectious Disease / Critical Care / Geriatrics

Pneumonia risk (CURB-65)

Estimate prognosis and determine disposition in community-acquired pneumonia.

Confusion?
No
Yes
Urea?
≤7 mmol/L
≤19 mg/dL
>7 mmol/L
>19 mg/dL
Respiratory Rate?
≤30/min
>30/min
Systolic BP <90 mmHg or Diastolic BP ≤60 mmHg?
No
Yes
Age?
<65 Years
≥65 Years

Results

Please answer all questions. The results will be computed once all questions are answered.

About this tool

This equation is taken from Lim et al (2003). The CURB-65 score was derived and validated based on 1068 patients from three prospective studies in the UK, New Zealand, and the Netherlands. An earlier, more detailed score known as the Pneumonia Severity Index (also known as the PORT score) has also been prospectively validated. A comparison between the two scoring systems demonstrated a slightly better performance using the PORT score as compared to the CURB-65 score. The importance of this difference is likely small and the relative simplicity of the CURB-65 score makes it appealing for clinical use.

References
Lim WS et al. Defining community acquired pneumonia severity on presentation to hospital: an international derivation and validation study. Thorax 2003;58:377.
View Abstract

Fine MJ et al. A prediction rule to identify low-risk patients with community-acquired pneumonia. NEJM 1997;336:243.
View Abstract

Aujesky D et al. Prospective comparison of three validated prediction rules for prognosis in community-acquired pneumonia. Am J Med 2005;118:384.
View Abstract

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