MEDS Score: Mortality in ER Sepsis

 

		Terminal illness with possible death in 1 month (6 points)
		Hypoxia or tachypnea (3 points)
		Shock from sepsis (3 points)
		Platelet count below 150,000 (3 points)
		Granulocytic bands >5% of WBC (3 points)
		Patient older than 65 years old (3 points)
		Lower respiratory infection (2 points)
		Patient is from a nursing home (2 points)
		Mental status is altered (2 points)

 

Total Criteria Point Count:
 

 

Mortality risk

 

0 to 4 points:	0.9 - 1.1%
5 to 7 points:	2 - 4.4%
8 to 12 points:	7.8 - 9.3%
12 to 15 points:	16.1 - 20.2%
16 to 27 points:	38 - 50%

 

 

References

1. Shapiro NI, Wolfe RE, Moore RB, et al. Mortality in emergency department sepsis (MEDS) score: a prospectively derived and validated clinical prediction rule. Crit Care Med. 2003; 31: 670-5. PubMed ID: 12626967