SAPS 3 Admission Score

Estimates ICU severity of illness and global predicted in-hospital mortality in adults from 20 admission variables; a population benchmarking tool, not an individual-prognosis instrument, and its global equation may miscalibrate by region and case-mix.

Age (years, 0-130)

Co-morbidity: cancer therapy (chemotherapy, radiotherapy, immunosuppression, steroids)

Co-morbidity: chronic heart failure NYHA class IV

Co-morbidity: hematological cancer (lymphoma, acute leukemia, multiple myeloma)

Co-morbidity: cirrhosis

Co-morbidity: AIDS

Co-morbidity: metastatic cancer (solid tumor)

Length of hospital stay before ICU admission

Intrahospital location before ICU admission

Vasoactive (vasopressor / inotrope) drugs used before ICU admission

Admission planning

Surgical status at ICU admission

Most heavily weighted anatomical site of surgery (if surgical)

Acute infection at admission: nosocomial (hospital-acquired)

Acute infection at admission: respiratory (lower respiratory tract / pneumonia)

Reason - cardiovascular: rhythm disturbance (arrhythmia)

Reason - neurologic: seizures

Reason - hypovolemic / hemorrhagic shock

Reason - septic shock

Reason - anaphylactic / mixed / undefined shock

Reason - coma / stupor / obtundation / confusion / agitation / delirium

Reason - focal neurologic deficit

Reason - intracranial mass effect

Reason - acute abdomen / other digestive

Reason - severe pancreatitis

Reason - hepatic: liver failure

Estimated Glasgow Coma Scale, lowest (3-15)

Total bilirubin, highest (mg/dL, 0-100)

Body temperature, highest (degrees C, 25-45)

Creatinine, highest (mg/dL, 0-30)

Heart rate, highest (beats/min, 0-300)

Leukocytes (WBC), highest (x10^9/L = G/L, 0-200)

Arterial pH, lowest (6.5-8.0)

Platelets, lowest (x10^9/L = G/L, 0-2000)

Systolic blood pressure, lowest (mmHg, 0-300)

Oxygenation / ventilatory support