MRCEM Notes

Scoring systems

There are numerous scoring systems used in medicine. The table below lists some of the more common ones:

Scoring systemNotes
CHA2DS2-VAScUsed to determine the need to anticoagulate a patient in atrial fibrillation
ABCD2Prognostic score for risk stratifying patients who've had a suspected TIA
NYHAHeart failure severity scale
DAS28Measure of disease activity in rheumatoid arthritis
Child-Pugh classificationA scoring system used to assess the severity of liver cirrhosis
Wells scoreHelps estimate the risk of a patient having a deep vein thrombosis
MMSEMini-mental state examination - used to assess cognitive impairment
HADHospital Anxiety and Depression (HAD) scale - assesses severity of anxiety and depression symptoms
PHQ-9Patient Health Questionnaire - assesses severity of depression symptoms
GAD-7Used as a screening tool and severity measure for generalised anxiety disorder
Edinburgh Postnatal Depression ScoreUsed to screen for postnatal depression
SCOFFQuestionnaire used to detect eating disorders and aid treatment
AUDITAlcohol screening tool
CAGEAlcohol screening tool
FAST*Alcohol screening tool
CURB-65Used to assess the prognosis of a patient with pneumonia
Epworth Sleepiness ScaleUsed in the assessment of suspected obstructive sleep apnoea
IPSSInternational prostate symptom score
Gleason scoreIndicates prognosis in prostate cancer
APGARAssesses the health of a newborn immediately after birth
Bishop scoreUsed to help assess the whether induction of labour will be required
Waterlow scoreAssesses the risk of a patient developing a pressure sore
FRAXRisk assessment tool developed by WHO which calculates a patients 10-year risk of developing an osteoporosis related fracture
Ranson criteriaAcute pancreatitis
MUSTMalnutrition

*FAST is also mnemonic to help patients/relatives identify the symptoms of a stroke
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