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4 A’s Test for Delirium Screening
UPDATEDDiagnoses delirium in older patients.
4Ts Score for Heparin-Induced Thrombocytopenia
Differentiates patients with HIT from those with other causes of thrombocytopenia.
6 Minute Walk Distance
Calculates reference values for distance walked, as a measure of functional status.
A-a O₂ Gradient
Assesses for degree of shunting and V/Q mismatch.
Abbey Pain Scale for Dementia Patients
Assesses pain in patients with advanced dementia.
Abbreviated Injury Score (AIS) for Inhalation Injury
Classifies inhalation injury severity based on bronchoscopic findings.
Abbreviated Mental Test 4 (AMT-4)
Assesses mental impairment in elderly patients.
ABC Score for Massive Transfusion
UPDATEDPredicts need for massive transfusion in trauma patients.
ABC/2 Formula for Intracerebral Hemorrhage Volume
Predicts volume of intracranial hemorrhage from CT measurements.
ABCD² Score for TIA
Estimates the risk of stroke after a suspected transient ischemic attack (TIA).
Absolute Lymphocyte Count (ALC)
Assesses number of lymphocytes and predicts CD4 count.
Absolute Neutrophil Count (ANC)
Frequently used to assess neutropenic fever in chemotherapy patients.
Absolute Reticulocyte Count & Reticulocyte Index
Assesses appropriate response to anemia, frequently in sickle cell patients.
ACC/AHA Heart Failure Staging
Describes stages of heart failure and provides recommendations for therapy by stage.
Acetaminophen Overdose and NAC Dosing
Calculates PO/IV NAC dosing for acetaminophen overdose (and nomogram to determine toxic 4 hour level).
ACR-EULAR Gout Classification Criteria
Provides formal diagnostic criteria for gout.
ACTION ICU Score for Intensive Care in NSTEMI
NEWPredicts risk of NSTEMI complications requiring ICU care.
Acute Decompensated Heart Failure National Registry (ADHERE) Algorithm
Predicts in-hospital mortality in patients with heart failure (HF).
Acute Gout Diagnosis Rule
Risk stratifies for gout vs non-gout arthritis and helps determine which patients benefit most from joint aspiration.
ADAPT Protocol for Cardiac Event Risk
Assesses chest pain patients at 2 hours for risk of cardiac event.
Adult Self-Report Scale (ASRS v1.1) for ADHD
Diagnoses adult ADHD.
Age-Adjusted ESR/CRP for Rheumatoid Arthritis
NEWCalculates age-adjusted ESR and CRP in adult patients with rheumatoid arthritis.
AIMS65 Score for Upper GI Bleeding Mortality
Determines risk of in-hospital mortality from upper GI bleeding.
Alberta Stroke Program Early CT Score (ASPECTS)
Determines MCA stroke severity using available CT data.
Alvarado Score for Acute Appendicitis
Likelihood of appendicitis based on symptoms, signs, and lab data.
American Diabetes Association (ADA) Risk Calculator
Predicts risk of undiagnosed diabetes to determine who should be screened.
Anion Gap
Evaluates states of metabolic acidosis.
Ankylosing Spondylitis Disease Activity Score with CRP (ASDAS-CRP)
NEWStratifies severity of ankylosing spondylitis (AS) using clinical and laboratory data, specifically CRP.
Ankylosing Spondylitis Disease Activity Score with ESR (ASDAS-ESR)
NEWStratifies severity of ankylosing spondylitis (AS) using clinical and laboratory data, specifically ESR.
Antivenom Dosing Algorithm
Doses antivenom for pit viper snakebites.
Aortic Dissection Detection Risk Score (ADD-RS)
Rules out aortic dissection.
APACHE II Score
Estimates ICU mortality.
APGAR Score
Assesses neonates 1 and 5 minutes after birth.
Appendicitis Inflammatory Response (AIR) Score
Diagnoses appendicitis based on clinical and laboratory findings.
ARISCAT Score for Postoperative Pulmonary Complications
NEWPredicts risk of pulmonary complications after surgery, including respiratory failure.
Arterial Blood Gas (ABG) Analyzer
Interprets ABG.
ASA Physical Status/ASA Classification
NEWClassifies health of patients prior to surgery.
ASAS Criteria for Axial Spondyloarthritis (SpA)
NEWDiagnoses axial spondyloarthritis according to Assessment of Spondyloarthritis International Society (ASAS) criteria.
ASAS Criteria for Peripheral SpondyloArthritis (SpA)
NEWDiagnoses peripheral spondyloarthritis according to Assessment of SpondyloArthritis International Society (ASAS) criteria.
ASCVD (Atherosclerotic Cardiovascular Disease) 2013 Risk Calculator from AHA/ACC
Determines 10-year risk of heart disease or stroke.
ASCVD (Atherosclerotic Cardiovascular Disease) Risk Algorithm including Known ASCVD from AHA/ACC
Determines 10-year risk of heart disease or stroke and provides statin recommendations.
AST to Platelet Ratio Index (APRI)
Determines the likelihood of hepatic fibrosis and cirrhosis in patients with hepatitis C.
Asthma Predictive Index (API)
Determines likelihood of pediatric patients developing childhood asthma.
ASTRAL Score for Ischemic Stroke
Predicts 90-day poor outcome in patients with acute ischemic stroke.
Asymptomatic Myeloma Prognosis
Predicts risk of progression of asymptomatic (smoldering) multiple myeloma to active myeloma or amyloidosis.
ATRIA Bleeding Risk Score
Determines bleeding risk for patients on warfarin.
ATRIA Stroke Risk Score
Determines stroke risk in patients with atrial fibrillation.
Atropine Dosing for Cholinesterase Inhibitor Toxicity
NEWDoses atropine for cholinesterase inhibitor toxicity (prescribed drugs, nerve gas, insecticides).
AUDIT-C for Alcohol Use
Identifies at-risk drinkers (i.e., binge drinking) who may not be alcohol-dependent.
Australian Type 2 Diabetes Risk (AUSDRISK) Assessment Tool
Estimates risk of developing type 2 diabetes, mainly in Australian patients.
Bacterial Meningitis Score for Children
Rules out bacterial meningitis.
BAP-65 Score for Acute Exacerbation of COPD
Predicts mortality in acute COPD exacerbation.
Barnes Jewish Hospital Stroke Dysphagia Screen
Assesses ability to swallow without aspiration after stroke.
Barthel Index for Activities of Daily Living (ADL)
Assesses functional independence, generally in stroke patients.
Basal Energy Expenditure
Calculates daily energy expenditure.
Bastion Classification of Lower Limb Blast Injuries
Stratifies blast injuries of lower limbs to guide treatment.
Behavioral Observational Pain Scale (BOPS) for Post-Op Pediatric Pain
Quantifies post-operative pain for children aged 1-7 years.
Behavioral Pain Scale (BPS) for Pain Assessment in Intubated Patients
Quantifies pain in intubated patients.
Bicarbonate Deficit
Calculates the total body bicarbonate deficit.
Binet Staging System for Chronic Lymphocytic Leukemia (CLL)
NEWStages chronic lymphocytic leukemia, similar to Rai Staging System.
BISAP Score for Pancreatitis Mortality
Predicts mortality risk in pancreatitis with fewer variables than Ranson's.
Bishop Score for Vaginal Delivery and Induction of Labor
Predicts likelihood of successful vaginal delivery.
Blast Lung Injury Severity Score
Stratifies primary blast lung injuries into three categories to guide ventilator treatment.
BODE Index for COPD Survival
Predicts survival in COPD patients.
Body Mass Index (BMI) and Body Surface Area (BSA)
Estimates the Body Mass Index and Body Surface Area.
Bova Score for Pulmonary Embolism Complications
Predicts 30-day risk of PE-related complications in hemodynamically stable patients.
Braden Score for Pressure Ulcers
NEWIdentifies patients at risk for pressure ulcers.
Brief Resolved Unexplained Events (BRUE) Criteria for Infants
Classifies unexplained events and replaces the Apparent Life Threatening Events (ALTE) classification.
Bristol Stool Form Scale
NEWClassifies stool (correlates with intestinal transit time).
Brugada Criteria for Ventricular Tachycardia
Distinguishes ventricular tachycardia from supraventricular tachycardia.
Burch-Wartofsky Point Scale (BWPS) for Thyrotoxicosis
Determines likelihood of thyrotoxicosis independent of thyroid hormone levels.
BWH Egg Freezing Counseling Tool (EFCT)
Predicts likelihood of live birth for elective egg freezing in women.
CAGE Questions for Alcohol Use
Screens for excessive drinking and alcoholism.
Calcium Correction for Hypoalbuminemia
Calculates a corrected calcium level for patients with hypoalbuminemia.
Cambridge Diabetes Risk Score
Predicts risk of having previously undiagnosed type 2 diabetes.
Canadian C-Spine Rule
Clinically clears cervical spine fracture without imaging.
Canadian CT Head Injury/Trauma Rule
Clears head injury without imaging.
Canadian Syncope Risk Score
UPDATEDPredicts 30-day serious adverse events in patients presenting with syncope.
Caprini Score for Venous Thromboembolism (2005)
NEWStratifies risk of VTE in surgical patients.
Cardiac Anesthesia Risk Evaluation Score (CARE)
Predicts mortality and morbidity after cardiac surgery.
CART (Cardiac Arrest Risk Triage) Score
NEWPredicts risk of in-hospital cardiac arrest.
CATCH (Canadian Assessment of Tomography for Childhood Head injury) Rule
Predicts clinically significant head injuries in children.
CEDOCS Score for Emergency Department Overcrowding
Estimates severity of overcrowding in community emergency departments.
Centor Score (Modified/McIsaac) for Strep Pharyngitis
Estimates probability that pharyngitis is streptococcal, and suggests management course.
Cerebral Perfusion Pressure
Calculates blood flow to the brain.
CHADS₂ Score for Atrial Fibrillation Stroke Risk
Estimates stroke risk in patients with atrial fibrillation.
CHALICE (Children's Head injury ALgorithm for the prediction of Important Clinical Events) Rule
Predicts death, need for neurosurgical intervention or CT abnormality in children with head trauma.
Charlson Comorbidity Index (CCI)
Predicts 10-year survival in patients with multiple comorbidities.
CHA₂DS₂-VASc Score for Atrial Fibrillation Stroke Risk
Calculates stroke risk for patients with atrial fibrillation, possibly better than the CHADS₂ Score.
Child-Pugh Score for Cirrhosis Mortality
Estimates cirrhosis severity.
Children's Hospital of Eastern Ontario Pain Scale (CHEOPS) for Post-Op Pediatric Pain
Quantifies pain post-operatively in pediatric patients 1-5 years old.
CHIP (CT in Head Injury Patients) Prediction Rule
Predicts intracranial traumatic CT findings in patients with minor head trauma.
CholeS Score for Duration of Laparoscopic Cholecystectomy
NEWPredicts operative time of laparoscopic cholecystectomy.
Cincinnati Prehospital Stroke Severity Scale (CP-SSS)
Predicts large vessel occlusion (LVO) and severe stroke in patients with stroke symptoms.
CIWA-Ar for Alcohol Withdrawal
Objectifies alcohol withdrawal severity to help guide therapy.
CKD Prediction in HIV+ Patients
Determines probability of HIV patients developing CKD in the next 5 years, if they take tenofivir or not.
CKD-EPI Equations for Glomerular Filtration Rate (GFR)
Estimates GFR based on serum creatinine, serum cystatin C, or both.
Clinical Disease Activity Index (CDAI) for Rheumatoid Arthritis
Determines severity of rheumatoid arthritis using only clinical data.
Clinical Index of Stable Febrile Neutropenia (CISNE)
Identifies febrile neutropenia patients at low risk of serious complications.
Clinical Pulmonary Infection Score (CPIS) for Ventilator-Associated Pneumonia (VAP)
Assists in diagnosing ventilator-associated pneumonia by predicting benefit of pulmonary cultures.
Confusion Assessment Method for the ICU (CAM-ICU)
Establishes ability to detect delirium in high risk settings.
Corrected QT Interval (QTc)
Corrects the QT interval for heart rate extremes.
COWS Score for Opiate Withdrawal
Quantifies severity of opiate withdrawal.
Creatinine Clearance (Cockcroft-Gault Equation)
Calculates CrCl according to the Cockcroft-Gault equation.
Critical Care Pain Observation Tool (CPOT)
Rates critically ill patients’ pain based on clinical observation.
Crohn's Disease Activity Index (CDAI)
Determines the current severity of Crohn’s disease.
CRUSADE Score for Post-MI Bleeding Risk
Stratifies bleeding risk after NSTEMI.
CURB-65 Score for Pneumonia Severity
Estimates mortality of community-acquired pneumonia to help determine inpatient vs. outpatient treatment.
D'Amico Risk Classification for Prostate Cancer
Assesses 5 year risk of treatment failure based on clinical factors.
DASH Prediction Score for Recurrent VTE
Predicts likelihood of recurrence of first VTE.
DECAF Score for Acute Exacerbation of COPD
Predicts in-hospital mortality in acute COPD exacerbation.
Denver HIV Risk Score
NEWPredicts probability of undiagnosed HIV infection.
Diabetic Ketoacidosis Mortality Prediction Model (DKA MPM) Score
Predicts in-hospital mortality in DKA.
DigiFab (Digibind) Dosing for Digoxin Poisoning
Doses DigiFab in patients with confirmed digoxin poisoning or overdose.
DIPSS (Dynamic International Prognostic Scoring System) for Myelofibrosis
NEWEstimates survival in patients with primary myelofibrosis.
DIRE Score for Opioid Treatment
NEWPredicts compliance with opioid treatment for chronic noncancer pain.
Disease Activity Score-28 for Rheumatoid Arthritis with CRP (DAS28-CRP)
Describes severity of rheumatoid arthritis using clinical and laboratory data, specifically CRP.
Disease Activity Score-28 for Rheumatoid Arthritis with ESR (DAS28-ESR)
Describes severity of rheumatoid arthritis using clinical and laboratory data, specifically ESR.
Disease Steps for Multiple Sclerosis
Evaluates MS disease progression based on patient’s ambulatory ability.
DRAGON Score for Post-TPA Stroke Outcome
Predicts 3 month outcome in ischemic stroke patients receiving TPA.
Drug Resistance in Pneumonia (DRIP) Score
Predicts risk for community-acquired pneumonia due to drug-resistant pathogens.
du Bois Score for Idiopathic Pulmonary Fibrosis (IPF) Mortality
Determines 1-year mortality in IPF patients using PFT and clinical indicators.
Dual Antiplatelet Therapy (DAPT) Score
NEWPredicts which patients will benefit from prolonged DAPT after coronary stent placement.
Duke Activity Status Index (DASI)
Estimates functional capacity.
Duke Criteria for Infective Endocarditis
Diagnostic criteria for endocarditis.
Duke Treadmill Score
Diagnoses and prognoses suspected CAD based on the treadmill exercise test.
Dutch Criteria for Familial Hypercholesterolemia (FH)
Diagnoses familial hypercholesterolemia (FH) based on clinical, genetic and family history.
Duval/CIBMTR Score for Acute Myelogenous Leukemia (AML) Survival
NEWPredicts overall survival in AML patients with relapsed/refractory disease undergoing myeloablative transplant.
Eastern Cooperative Oncology Group (ECOG) Performance Status
Determines ability of patient to tolerate therapies in serious illness, specifically for chemotherapy, simpler than the Karnofsky Scale.
EGSYS (Evaluation of Guidelines in SYncope Study) Score for Syncope
Predicts likelihood that syncope is from cardiac cause.
Embolic Stroke of Undetermined Source (ESUS) Criteria
NEWDiagnoses embolic stroke of undetermined source.
Emergency Department Assessment of Chest Pain Score (EDACS)
UPDATEDIdentifies chest pain patients with low risk of major adverse cardiac event.
Emergency Heart Failure Mortality Risk Grade (EHMRG)
Estimates 7-day mortality of emergency CHF patients.
Endotracheal Tube (ETT) Depth and Tidal Volume Calculator
Estimates depth of optimal ETT placement and target tidal volume by height.
Estimated Average Glucose (eAG) From HbA1C
Estimates an average glucose level from Hemoglobin A1C value.
Estimated Ethanol (and Toxic Alcohol) Serum Concentration Based on Ingestion
Predicts ethanol concentration based on ingestion of alcohol.
Estimated/Expected Peak Expiratory Flow (Peak Flow)
Helps to quantify asthma exacerbation severity.
EUTOS Score for Chronic Myelogenous Leukemia (CML)
Predicts outcomes after CML treatments, specifically adjusted for tyrosine kinase treatments.
Expanded Disability Status Scale (EDSS) / Functional Systems Score (FSS)
Describes severity of disability in patients with MS.
Fatty Liver Index
NEWDiagnoses fatty liver using labs and exam findings.
Fetal Biophysical Profile (BPP) Score
Predicts need for urgent delivery based on sonographic and nonstress testing.
FeverPAIN Score for Strep Pharyngitis
Predicts likelihood of strep throat.
Fibrosis-4 (FIB-4) Index for Liver Fibrosis
Noninvasive estimate of liver scarring in HCV and HBV patients, to assess need for biopsy.
FINDRISC (Finnish Diabetes Risk Score)
Identifies patients at high risk for type 2 diabetes.
Fisher Grading Scale for Subarachnoid Hemorrhage (SAH)
Rates risk of vasospasm in aSAH based on amount and distribution of blood on CT.
Fleischner Society Guidelines for Incidental Pulmonary Nodules
NEWProvides guidelines for management of solid and subsolid pulmonary nodules.
Focused Assessment with Sonography for Trauma (FAST)
Predicts presence of pericardial or intra-abdominal injury after penetrating or blunt trauma.
Follicular Lymphoma International Prognostic Index (FLIPI)
Estimates overall survival based on clinical information.
Fomepizole Dosing
Doses fomepizole for methanol and ethylene glycol reversal.
Fong Clinical Risk Score for Colorectal Cancer Recurrence
Predicts recurrence for colorectal cancer patients with liver metastasis after hepatic resection.
Forrest Classification of Upper GI Bleeding
Stratifies severity of upper GI bleeding according to endoscopic findings.
FOUR (Full Outline of UnResponsiveness) Score
NEWGrades coma severity; may be more accurate than the Glasgow Coma Scale.
Fractional Excretion of Sodium (FENa)
Determines if renal failure is due to pre-renal, intrinsic, or post-renal pathology.
Fractional Excretion of Urea (FEUrea)
Determines the cause of renal failure. Similar to the FENa, but can be used on patients on diuretics.
Framingham Coronary Heart Disease Risk Score
Estimates risk of heart attack in 10 years.
Framingham Heart Failure Diagnostic Criteria
Diagnoses heart failure based on major and minor criteria.
Free Water Deficit in Hypernatremia
Calculates free water deficit by estimated total body water.
Fuhrman Nuclear Grade for Clear Cell Renal Carcinoma
Provides prognostic grading system for tumor cells based on physical cellular appearance.
Functional Outcome in Patients With Primary Intracerebral Hemorrhage (FUNC) Score
Identifies patients with ICH who will attain functional independence and assists in clinical decision-making.
GAD-7 (General Anxiety Disorder-7)
Measures severity of anxiety.
Gail Model for Breast Cancer Risk
Estimates risk for breast cancer based on demographic and clinical data.
GAP Index for Idiopathic Pulmonary Fibrosis (IPF) Mortality
Provides 1, 2, and 3-year mortality estimates for IPF patients.
Geneva Score (Revised) for Pulmonary Embolism
Objectifies risk of PE, like Wells’ score.
Glasgow Alcoholic Hepatitis Score
Predicts mortality in patients with alcoholic hepatitis by lab results and age.
Glasgow Coma Scale/Score (GCS)
Coma severity based on Eye (4), Verbal (5), and Motor (6) criteria.
Glasgow Prognostic Score (GPS) for Cancer Outcomes
Provides cancer prognosis based on serum biomarkers.
Glasgow-Blatchford Bleeding Score (GBS)
Stratifies upper GI bleeding patients who are “low-risk” and candidates for outpatient management.
Glasgow-Imrie Criteria for Severity of Acute Pancreatitis
Determines severity of pancreatitis based on 8 laboratory values.
Gleason Score for Prostate Cancer
Prognoses prostate cancer based on microscopic tumor appearance.
Global Initiative for Obstructive Lung Disease (GOLD) Criteria for COPD
Assesses different stages of COPD and provides treatment recommendations.
GO-FAR (Good Outcome Following Attempted Resuscitation) Score
NEWPredicts survival to discharge with good outcome after in-hospital cardiac arrest.
GRACE ACS Risk and Mortality Calculator
Estimates admission-6 month mortality for patients with acute coronary syndrome.
Groupe d'Etude des Lymphomes Folliculaires (GELF) Criteria
Determines if immediate therapy for follicular lymphoma is required.
Guideline Summary: Renal Cell Carcinoma Follow-up
Summarizes NCCN and AUA guidelines for follow-up of renal cell carcinoma.
Gupta Perioperative Risk for Myocardial Infarction or Cardiac Arrest (MICA)
Predicts risk of MI or cardiac arrest after surgery.
GWTG-Heart Failure Risk Score
Predicts in-hospital all-cause heart failure mortality.
Hamilton Anxiety Scale
Rates level of anxiety based on clinical questions.
Harmless Acute Pancreatitis Score (HAPS)
Identifies patients who do not require intensive care for their first episode of acute pancreatitis.
HAS-BLED Score for Major Bleeding Risk
Estimates risk of major bleeding for patients on anticoagulation to assess risk-benefit in atrial fibrillation care.
HAT (Hemorrhage After Thrombolysis) Score for Predicting Post-tPA Hemorrhage
Assesses hemorrhage risk after tPA.
HEART Pathway for Early Discharge in Acute Chest Pain
Identifies emergency department patients with acute chest pain for early discharge.
HEART Score for Major Cardiac Events
Predicts 6-week risk of major adverse cardiac event.
Hematopoietic Cell Transplantation-specific Comorbidity Index (HCT-CI)
Predicts survival after HCT in patients with hematologic malignancies, including optional age adjustment.
HEMORR₂HAGES Score for Major Bleeding Risk
Quantifies risk of hemorrhage in elderly patients with AFib.
Heng Score for Metastatic Renal Cell Carcinoma (RCC) Prognosis
Determines overall survival in patients treated with VEGF–targeted therapy.
Hepatic Encephalopathy Grades/Stages
West Haven Criteria. Defines criteria for the stages of hepatic encephalopathy.
HERDOO2 Rule for Discontinuing Anticoagulation in Unprovoked VTE
Identifies low-risk women who can safely discontinue VTE treatment.
Hestia Criteria for Outpatient Pulmonary Embolism Treatment
Identifies low-risk PE patients safe for outpatient treatment.
High-dose Insulin Euglycemia Therapy (HIET)
Doses insulin for calcium-channel blocker or beta blocker overdose.
HIT Expert Probability (HEP) Score for Heparin-Induced Thrombocytopenia
Pre-test clinical scoring model for HIT based on broad expert opinion.
HIV Needle Stick Risk Assessment Stratification Protocol (RASP)
Quantifies HIV exposure risk by source and exposure type and need for prophylaxis.
HOMA-IR (Homeostatic Model Assessment for Insulin Resistance)
Approximates insulin resistance.
HOSPITAL Score for Readmissions
NEWPredicts 30-day potentially avoidable hospital readmissions.
Hunt & Hess Classification of Subarachnoid Hemorrhage
Classifies severity of subarachnoid hemorrhage to predict mortality.
Hypoglycemia Risk Score
Predicts 12-month risk of hypoglycemic episodes in T2DM patients.
Ideal Body Weight
Calculates ideal body weight by the Devine formula.
Immunization Schedule Calculator
Determines what immunizations/vaccinations are due based on a patient's age.
Infective Endocarditis (IE) Mortality Risk Score
Predicts mortality at 6 months in patients with infective endocarditis.
Injury Severity Score (ISS)
Standardizes severity of traumatic injury based on worst injury of 6 body systems.
International Prognostic Index for Chronic Lymphocytic Leukemia (CLL-IPI)
Stratifies patients with chronic lymphocytic leukemia into four risk categories.
International Prognostic Index for Diffuse Large B-cell Lymphoma (IPI and R-IPI)
Predicts overall and progression-free survival in DLBCL based on risk factors.
Intracerebral Hemorrhage (ICH) Score
Based on age and CT findings; estimates mortality.
Intraoperative Fluid Dosing in Adult Patients
Doses IV fluids intraoperatively.
Karnofsky Performance Status Scale
Determines ability of patient to tolerate chemotherapy.
Kawasaki Disease Diagnostic Criteria
Diagnoses Kawasaki Disease.
Khorana Risk Score for Venous Thromboembolism in Cancer Patients
Predicts risk of VTE for cancer patients depending on type of cancer and other factors.
Kidney Failure Risk Calculator
NEWPredicts progression to kidney failure in patients with chronic kidney disease (CKD).
Killip Classification for Heart Failure
Quantifies severity of heart failure in ACS and predicts 30-day mortality.
King's College Criteria for Acetaminophen Toxicity
Recommends who should be immediately referred for liver transplant.
Kocher Criteria for Septic Arthritis
Distinguishes septic arthritis from transient synovitis in a child with an inflamed hip.
Kruis Score for Diagnosis of Irritable Bowel Syndrome (IBS)
Determines presence of IBS using clinically significant weighted criteria.
LACE Index for Readmission
Predicts 30-day readmission or death in patients on medicine and surgery wards.
Lansky Play-Performance Scale for Pediatric Functional Status
Uses parent description of child’s activity to assess ability and response to treatment.
LDL Calculated
Calculates LDL based on total and HDL cholesterol and triglycerides.
Leiden Clinical Prediction Rule for Undifferentiated Arthritis
NEWDiagnoses rheumatoid arthritis in patients with recent-onset undifferentiated arthritis.
LENT Prognostic Score for Malignant Pleural Effusion
Predicts survival in patients with malignant pleural effusion.
Licurse Score for Renal Ultrasound
NEWPredicts probability of hydronephrosis on renal ultrasonography (RUS) requiring urologic intervention in adult patients with acute kidney injury.
Light's Criteria for Exudative Effusions
Provides Light's Criteria to help determine if pleural fluid is exudative.
Lille Model for Alcoholic Hepatitis
Predicts mortality in patients with Alcoholic Hepatitis not responding to steroid therapy.
Los Angeles (LA) Grading of Esophagitis
Stratifies severity of esophagitis based on endoscopic findings.
Los Angeles Motor Scale (LAMS)
Stratifies stroke severity in the field.
LRINEC Score for Necrotizing Soft Tissue Infection
Screens for necrotizing soft tissue infections.
Maddrey's Discriminant Function for Alcoholic Hepatitis
Suggests which patients with alcoholic hepatitis may have a poor prognosis and benefit from steroid administration.
MAGGIC Risk Calculator for Heart Failure
Estimates 1- and 3- year mortality in heart failure.
Maintenance Fluids Calculations
Calculates maintenance fluid requirements by weight.
Major Depression Index (MDI)
Screens for depression based on clinically significant questions.
Manchester Score for Prognosis in Small Cell Lung Cancer
Predicts 2 year survival of small cell lung cancer.
Mangled Extremity Severity Score (MESS Score)
Estimates viability of an extremity after trauma, to determine need for salvage vs empiric amputation.
Manning Criteria for Diagnosis of Irritable Bowel Syndrome (IBS)
Determines likelihood of irritable bowel syndrome diagnosis based on clinically significant criteria.
Mantle Cell Lymphoma International Prognostic Index (MIPI)
Predicts survival in patients with mantle cell lymphoma.
Marburg Heart Score (MHS)
Rules out coronary artery disease in primary care patients with chest pain.
MASCC Risk Index for Febrile Neutropenia
Identifies patients at low risk for poor outcome with febrile neutropenia.
Maximum Allowable Blood Loss (ABL) Without Transfusion
Estimates the maximum allowable blood loss intraoperatively before transfusion should be considered.
Mayo Score / Disease Activity Index (DAI) for Ulcerative Colitis
Assesses severity of ulcerative colitis.
MDRD GFR Equation
Estimates glomerular filtration rate based on creatinine and patient characteristics.
Mean Arterial Pressure (MAP)
Calculates mean arterial pressure.
Mekhail Extension of the Motzer Score
Predicts metastatic renal cell carcinoma survival, more accurately than the Motzer Score.
MELD Score (Model For End-Stage Liver Disease) (12 and older)
Stratifies severity of end-stage liver disease, for transplant planning.
MELD Score (Original, Pre-2016, Model for End-Stage Liver Disease)
Calculates the MELD score to quantify end-stage liver disease for transplant planning.
MELDNa/MELD-Na Score for Liver Cirrhosis
Adds sodium to the MELD model for liver cirrhosis.
Memorial Sloan-Kettering Cancer Center (MSKCC/Motzer) Score for Metastatic Renal Cell Carcinoma (RCC)
Predicts survival based on clinical and laboratory data in metastatic RCC patients.
Metroticket Calculator for Hepatocellular Carcinoma (HCC) Survival
Predicts survival for patients with HCC.
Michigan Risk Score for PICC-Related Thrombosis
Predicts risk of DVT in patients with peripherally inserted central catheter (PICC).
Milan Criteria for Liver Transplantation
Assess suitability of patients for liver transplant with cirrhosis and hepatocellular carcinoma.
Mirels’ Criteria for Prophylactic Fixation
Predicts risk of pathologic fracture in patients with long bone metastasis.
mMRC (Modified Medical Research Council) Dyspnea Scale
Stratifies severity of dyspnea in respiratory diseases, particularly COPD.
Modified Asthma Predictive Index (mAPI)
Predicts future asthma in pediatric patients.
Modified Early Warning Score (MEWS) for Clinical Deterioration
Determines the degree of illness of a patient.
Modified Fatigue Impact Scale (MFIS)
Measures the impact fatigue takes on a patient's daily life.
Modified Fisher Grading Scale for Subarachnoid Hemorrhage (SAH)
States severity of SAH based on amount and type of blood on CT with associated vasospasm risk.
Modified Glasgow Prognostic Score (mGPS) for Cancer Outcomes
Provides improved cancer prognosis over the original score, based on serum biomarkers.
Modified Hoehn and Yahr Scale for Parkinson’s Disease
Grades severity of symptoms in Parkinson’s disease.
Modified Mallampati Classification
Stratifies difficulty of endotracheal intubation based on anatomic features.
Modified NIH Stroke Scale/Score (mNIHSS)
Shortened, validated version of the NIHSS.
Modified Rankin Scale for Neurologic Disability
Measures the degree of disability or dependence in the daily activities of people who have suffered a stroke or other causes of neurological disability.
Modified Response Evaluation Criteria in Solid Tumors (mRECIST)
Measures treatment response, specifically to cytotoxic drugs, based on tumor shrinkage.
Modified SOAR Score for Stroke
Predicts short-term mortality in acute ischemic stroke.
Multiple Myeloma International Staging System (ISS)
Prognosticates the severity of multiple myeloma based on routinely obtained lab values.
Murray Score for Acute Lung Injury
Stratifies severity of acute lung injury, and is also used for ECMO patient selection.
NAFLD (Non-Alcoholic Fatty Liver Disease) Fibrosis Score
Estimates amount of scarring in the liver based on several laboratory tests.
Naloxone Drip Dosing
Doses naloxone for acute opioid overdose.
National Early Warning Score (NEWS)
Determines the degree of illness of a patient and prompts critical care intervention.
NEDOCS Score for Emergency Department Overcrowding
Estimates severity of overcrowding in emergency departments.
Neuropathy Pain Scale (NPS)
Quantifies severity of neuropathic pain.
New Orleans/Charity Head Trauma/Injury Rule
Criteria for which patients are unlikely to require imaging after head trauma.
NEXUS Chest CT Decision Instrument for CT Imaging
Identifies blunt trauma patients with clinically significant thoracic injuries.
NEXUS Chest Decision Instrument for Blunt Chest Trauma
Determines which patients require chest imaging after blunt trauma.
NEXUS Criteria for C-Spine Imaging
Clears patients from cervical spine fracture clinically, without imaging.
NIH Stroke Scale/Score (NIHSS)
Calculates the NIH Stroke Scale for quantifying stroke severity.
Nonverbal Pain Scale (NVPS) for Nonverbal Patients
Quantifies pain in patients unable to speak (due to intubation, dementia, etc).
Nutrition Risk in the Critically Ill (NUTRIC) Score
Identifies critically ill patients who can benefit from nutrition therapy.
Nutrition Risk Screening 2002 (NRS-2002)
Predicts risk of malnutrition in hospitalized patients.
Oakland Score for Safe Discharge After Lower GI Bleed
NEWPredicts readmission risk in patients with acute lower GI bleeding.
Ocular Hypertension Treatment Study (OHTS) Calculator
NEWIdentifies patients that may benefit from therapy to lower intraocular pressure (IOP).
OESIL Score for Syncope
Estimates 12-month all-cause mortality in patients presenting with syncope.
Opioid Risk Tool (ORT) for Narcotic Abuse
Estimates risk of opioid-related aberrant behaviors.
Ottawa Ankle Rule
Rules out clinically significant foot and ankle fractures to reduce use of x-ray imaging.
Ottawa Heart Failure Risk Scale (OHFRS)
Identifies ED patients with heart failure at high risk for serious adverse events.
Ottawa Knee Rule
Describes criteria for knee trauma patients so low risk as not to warrant knee imaging.
Ottawa Subarachnoid Hemorrhage (SAH) Rule for Headache Evaluation
Rules out SAH in patients with headache.
Oxygenation Index
Predicts outcomes, especially in pediatric patients; helps determine need for ECMO.
Padua Prediction Score for Risk of VTE
Determines anticoagulation need in hospitalized patients by risk of VTE.
Pain Assessment in Advanced Dementia Scale (PAINAD)
Assesses pain in patients with dementia.
Palchak (UC Davis) Rule for Pediatric Head Trauma
Identifies children at low risk for brain injuries after blunt head trauma.
Parkland Formula for Burns
Calculates fluid requirements for burn patients in a 24-hour period.
PECARN Pediatric Head Injury/Trauma Algorithm
Predicts need for brain imaging after pediatric head injury.
Pediatric Appendicitis Score (PAS)
Predicts appendicitis in children.
Pediatric Asthma Score (PAS)
Stratifies asthma severity in children.
Pediatric Asthma Severity Score (PASS) for Asthma Exacerbation Severity
Determines pediatric asthma severity based on physical exam findings.
Pediatric Crohn’s Disease Activity Index (PCDAI)
Stratifies severity of Crohn’s disease in pediatric patients.
Pediatric Early Warning Score (PEWS)
Identifies pediatric patients at risk for clinical deterioration.
Pediatric Endotracheal Tube (ETT) Size
Estimates ET tube size based on age.
Pediatric Glasgow Coma Scale (pGCS)
Assesses the mental state of child patients.
Pediatric Ins and Outs
Calculates fluid status in volume per weight & volume per weight per time, for pediatrics.
Pediatric Respiratory Assessment Measure (PRAM) for Asthma Exacerbation Severity
Measures severity of airway obstruction in pediatric patients using clinical observations.
Pediatric SIRS, Sepsis, and Septic Shock Criteria
Defines the severity of sepsis and septic shock for pediatric patients.
Pediatric Trauma BIG Score
Stratifies severity of illness and predicts mortality in pediatric patients after trauma.
PEDIS Score for Diabetic Foot Ulcers
NEWPredicts 6-month risk of amputation and mortality in diabetic foot ulcers.
PEDOCS Score for Pediatric Emergency Department Overcrowding
Estimates severity of overcrowding in pediatrics emergency departments.
PELD Score (Pediatric End-Stage Liver Disease) (younger than 12)
Calculates the pediatric version of the MELD score for liver cirrhosis severity and transplant planning.
PERC Rule for Pulmonary Embolism
Rules out PE if no criteria are present and pre-test probability is ≤15%.
Phenytoin/Dilantin Correction for Albumin / Renal Failure
Corrects a phenytoin serum level for renal failure and/or hypoalbuminemia.
PHQ-9 (Patient Health Questionnaire-9)
Objectifies degree of depression severity.
Pittsburgh Knee Rules
Defines when knee x-rays are unnecessary, based on the Pittsburgh rules.
Pittsburgh Response to Endovascular therapy (PRE) Score
Identifies patients with anterior circulation large vessel occlusion (LVO) strokes likely to benefit from endovascular therapy.
POMPE-C Tool for Pulmonary Embolism Mortality
Predicts mortality for cancer patients with PE.
POSSUM for Operative Morbidity and Mortality Risk
Estimates morbidity and mortality for general surgery patients.
Practice Pearls: Diabetes
Provides pearls for diabetes management.
Practice Pearls: Hepatocellular Carcinoma
Provides pearls for HCC management.
Practice Pearls: Renal Cell Carcinoma
Provides pearls for RCC management.
Pregnancy Due Dates Calculator
Calculates pregnancy dates, forward from last period or backward from due date.
Prevention and Incidence of Asthma and Mite Allergy (PIAMA) Risk Score
Determines risk of asthma for school age children.
Prognostic Index for Cancer Outcomes
Predicts cancer mortality from serum biomarkers.
Prostate Tumor Volume & Density
Measures prostate tumor volume and PSA density.
PSI/PORT Score: Pneumonia Severity Index for CAP
Estimates mortality for adult patients with community-acquired pneumonia.
Pulmonary Embolism Severity Index (PESI)
Predicts 30-day outcome of patients with pulmonary embolism using 11 clinical criteria.
R Factor for Liver Injury
NEWDifferentiates cholestatic from hepatocellular liver injury.
RADS (Radiologist’s Score) for Smoke Inhalation Injury
Stratifies severity of inhalation injury on chest CT.
Rai Staging System for Chronic Lymphocytic Leukemia (CLL)
NEWStages chronic lymphocytic leukemia, similar to Binet Staging System.
Ranson's Criteria for Pancreatitis Mortality
Estimates mortality of patients with pancreatitis, based on initial and 48-hour lab values.
Rapid Arterial oCclusion Evaluation (RACE) Scale for Stroke
Predicts large vessel occlusion (LVO) in patients with acute stroke.
RAPID Score for Pleural Infection
Predicts mortality in patients with pleural infection.
Rapid Shallow Breathing Index (RSBI)
Predicts successful extubation, to be used only as a single component of the clinical picture.
REACH-B Score for Hepatocellular Carcinoma (HCC)
NEWEstimates risk of hepatocellular carcinoma (HCC) in patients with chronic hepatitis B.
Recognition of Stroke in the Emergency Room (ROSIER) Scale
NEWDistinguishes between acute stroke and stroke mimics.
RENAL Nephrometry Score
Categorizes renal masses by complexity for surgical decision-making.
Revised Cardiac Risk Index for Pre-Operative Risk
Estimates risk of cardiac complications after noncardiac surgery.
Revised International Prognostic Scoring System (IPSS-R) for Myelodysplastic Syndrome (MDS)
Stages patients with MDS.
Revised McDonald Criteria for Multiple Sclerosis Diagnosis
Determines presence of MS using MRI findings.
Revised Multiple Myeloma International Staging System (R-ISS)
Prognostication tool for myeloma patients based on the genetics and other routinely used lab values in conjunction with the original ISS Staging System.
Revised Natural History Model for Primary Sclerosing Cholangitis
Estimates survival from primary sclerosing cholangitis.
Revised Original Score for Autoimmune Hepatitis (AIH)
Revised version of the original scoring system for the diagnosis of autoimmune hepatitis.
Revised Schwartz Equation for Glomerular Filtration Rate (GFR) (2009)
NEWEstimates GFR in pediatric patients.
Revised Trauma Score
Quantifies severity of trauma injuries based on GCS, blood pressure, and respiratory rate.
Revised Urinary Incontinence Scale (RUIS)
Assesses urinary incontinence symptoms and monitors outcomes with treatment.
Reynolds Risk Score for Cardiovascular Risk in Women
Estimates 10-year cardiovascular risk in women over age 45 years.
Richmond Agitation-Sedation Scale (RASS)
Ranks agitation and possibility for sedation.
RIETE Score for Risk of Hemorrhage in Pulmonary Embolism Treatment
Determine the risk of major bleeding during anticoagulant therapy.
RIPASA Score for Acute Appendicitis
Diagnoses appendicitis with lab values and clinical findings, especially for Asian populations.
Risk of Paradoxical Embolism (RoPE) Score
Identifies stroke-related PFO in patients with cryptogenic stroke.
Risk Score for Asthma Exacerbation (RSE)
Predicts likelihood of asthma exacerbation within 6 months.
Rochester Criteria for Febrile Infants
Determines whether febrile infants are low risk for serious bacterial infection.
Rockall Score for Upper GI Bleeding (Complete)
Determines severity of GI bleeding.
Rockall Score for Upper GI Bleeding (Pre-Endoscopy)
Determines severity of GI bleeding, prior to endoscopy.
Rome II Diagnostic Criteria for Irritable Bowel Syndrome (IBS)
Provides criteria for diagnosis of irritable bowel syndrome (IBS) within 3 month period.
Rome III Diagnostic Criteria for Irritable Bowel Syndrome (IBS)
Provides criteria for diagnosis of irritable bowel syndrome (IBS) within 12 week period.
Rome IV Diagnostic Criteria for Constipation
NEWProvides criteria for diagnosis of functional constipation.
Rome IV Diagnostic Criteria for Dyspepsia
NEWProvides criteria for diagnosis of dyspepsia.
Rome IV Diagnostic Criteria for Irritable Bowel Syndrome (IBS)
Provides criteria for diagnosis of irritable bowel syndrome.
Rule of 7s for Lyme Meningitis
Distinguishes Lyme meningitis from aseptic meningitis.
San Francisco Syncope Rule
Defines high-risk criteria for patients with syncope.
Schwab and England Activities of Daily Living (ADL) Scale
Grades functional status in patients with Parkinson’s disease.
Secondary Intracerebral Hemorrhage (sICH) Score
Quantifies likelihood of underlying vascular etiology in patients with ICH.
SEDAN Score for Post-tPA Hemorrhage
Predicts risk of Symptomatic Intracerebral Hemorrhage (sICH) after tPA.
Sequential Organ Failure Assessment (SOFA) Score
Predicts ICU mortality based on lab results and clinical data.
Serum Ascites Albumin Gradient (SAAG)
Defines presence of portal hypertension in patients with ascites.
Serum Osmolality/Osmolarity
Calculates expected serum osmolarity, for comparison to measured osmolarity to detect unmeasured compounds in the serum.
Sgarbossa's Criteria for MI in Left Bundle Branch Block
Criteria to diagnose acute MI in patients with prior LBBB.
Shock Index
May be a more sensitive indicator of occult shock, especially in trauma or acute hemorrhage.
Shock Index, Pediatric Age-Adjusted (SIPA)
NEWPredicts mortality in children with blunt trauma.
Shorr Score for MRSA Pneumonia
Identifies pneumonia patients at low risk for MRSA.
Shortened Modified Fatigue Impact Scale (MFIS)
Shorter version of MFIS which measures the impact fatigue takes on a patient's daily life.
Simon Broome Diagnostic Criteria for Familial Hypercholesterolemia (FH)
Diagnoses familial hypercholesterolemia (FH) based on clinical, genetic and family history.
Simple Disease Activity Index (SDAI) for Rheumatoid Arthritis
Determines severity of rheumatoid arthritis using clinical and laboratory data.
Simplified Acute Physiology Score (SAPS) II
Estimates mortality in ICU patients, comparable to APACHE II.
Simplified Autoimmune Hepatitis (AIH) Score
Diagnoses autoimmune hepatitis.
Simplified Motor Score (SMS)
Simplifies assessment of head trauma patients compared to the GCS.
Simplified PESI (Pulmonary Embolism Severity Index)
Predicts 30-day outcome of patients with PE, with fewer criteria than the original PESI.
SIRS, Sepsis, and Septic Shock Criteria
Defines the severity of sepsis and septic shock.
SMART-COP Score for Pneumonia Severity
Predicts need for intensive respiratory or vasopressor support (IRVS) in community-acquired pneumonia (CAP).
Sodium Correction for Hyperglycemia
Calculates the actual sodium level in patients with hyperglycemia.
Sodium Correction Rate in Hyponatremia and Hypernatremia
Calculates recommended fluid type, rate and volume to correct hyponatremia slowly (or more rapidly if seizing).
Sodium Deficit in Hyponatremia
Calculates sodium quantity missing in hyponatremia.
Sokal Index for Chronic Myelogenous Leukemia (CML)
Predicts survival of CML based on clinical and lab information.
SSIGN Score for Renal Cell Carcinoma (RCC)
Predicts progression of clear cell renal cell carcinoma after radical nephrectomy.
Steinhart Model for Acute Heart Failure (AHF) in Undifferentiated Dyspnea
NEWDiagnoses acute heart failure with NT-proBNP in undifferentiated dyspneic patients.
Step-by-Step Approach to Febrile Infants
NEWIdentifies febrile infants ≤90 days old at low risk of invasive bacterial infections.
Steroid Conversion Calculator
Converts steroid dosages using dosing equivalencies.
STONE Nephrolithometry Score for Renal Calculi
Predicts recurrence of kidney stone based on radiological criteria.
Stool Osmolar/Osmotic Gap
Determines if chronic diarrhea is osmotic or secretory in nature.
STOP-BANG Score for Obstructive Sleep Apnea
Screens for obstructive sleep apnea.
Subtle Anterior STEMI Calculator
Differentiates early repolarization from anterior STEMI.
Surgical Apgar Score (SAS) for Post-Operative Risk
Predicts post-operative risk of major complication, including death.
TASH Score (Trauma Associated Severe Hemorrhage)
Predicts the need for massive transfusion based on clinical and laboratory data.
THRIVE Score for Stroke Outcome
Estimates prognosis after an acute ischemic stroke.
TIMI Risk Index
Provides mortality estimate in patients with ACS using only blood pressure, heart rate, and age.
TIMI Risk Score for STEMI
Estimates mortality in patients with STEMI.
TIMI Risk Score for UA/NSTEMI
Estimates mortality for patients with unstable angina and non-ST elevation MI.
TNM Staging for Breast Cancer
Stages breast cancer based on tumor, lymph node, and metastasis characteristics.
TNM Staging for Hepatocellular Carcinoma (HCC)
Stages hepatocellular carcinoma based on tumor, lymph node and metastasis characteristics.
TNM Staging for Melanoma
Stages melanoma based on tumor, lymph node, and metastasis characteristics.
TNM Staging for Pancreatic Cancer
Provides information about the severity of pancreatic cancer based on tumor, lymph node and metastasis characteristics.
TNM Staging for Renal Cell Carcinoma
Provides information about the severity of renal cell cancer based on tumor, lymph node, and metastasis characteristics.
tPA (Tissue Plasminogen Activator) Dosing for Stroke Calculator
Doses tPA for stroke.
tPA Contraindications for Ischemic Stroke
Provides inclusion/exclusion criteria when deciding to use tPA on a patient with acute ischemic stroke.
Troponin-only Manchester Acute Coronary Syndromes (T-MACS) Decision Aid
Rules out acute coronary syndrome.
Trunk Impairment Scale
Quantifies disability after stroke; also validated in Parkinson’s disease.
UCLA Integrated Staging System (UISS) for Renal Cell Carcinoma (RCC)
Provides 5-year disease-free prognosis for localized and metastatic RCC.
UCSF-CAPRA Score for Prostate Cancer Risk
Predicts outcomes of patients post-treatment for prostate cancer.
Urinary Protein Excretion Estimation
Quantifies 24-hour proteinuria with protein/creatinine ratio from a single urine sample.
Urine Anion Gap
Detects urine acidosis for evaluation of non-gap metabolic acidosis.
Urine Output and Fluid Balance
Calculates urine output over a 24-hour period.
US (MEDPED) Diagnostic Criteria for Familial Hypercholesterolemia (FH)
Diagnoses familial hypercholesterolemia using age, family history, and total cholesterol.
Vancouver Chest Pain Rule
Identifies chest pain patients who are low risk and safe for early discharge.
VBAC Risk Score for Successful Vaginal Delivery (Flamm Model)
Predicts likelihood of successful vaginal birth after previous caesarean section (VBAC).
Veterans Aging Cohort Study (VACS) Index
Estimates risk of 5-year all-cause mortality in patients with HIV and/or HCV.
Webster Rating Scale for Parkinson’s Disease
Quantifies degree of disability in Parkinson’s disease.
Wells' Criteria for DVT
Calculates Wells' Score for risk of DVT.
Wells' Criteria for Pulmonary Embolism
Objectifies risk of pulmonary embolism.
Westley Croup Score
Quantifies croup severity (although mainly used for research, not clinically).
Wexner Score for Obstructed Defecation Syndrome (ODS)
NEWStratifies severity of fecal incontinence.
Winters' Formula for Metabolic Acidosis Compensation
Calculates the expected pCO₂ compensation in a purely metabolic acidosis.
Wound Closure Classification
Classifies types of wound closure.