Key paper

Le Gall JR, et al. A new Simplified Acute Physiology Score (SAPS II) based on a European/North American multicenter study. JAMA 1993;270: 2957-63

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Point score in brackets

Age

<40 (0); 40-59 (7); 60-69 (12); 70-74 (15); 75-79 (16);>80 (18)

Heart rate (bpm)

<40 (11); 40-69 (2); 70-119 (0); 120-159 (4);>160 (7)

Systolic BP (mmHg)

<70 (13); 70-99 (5); 100-199 (0); >200 (2)

Body temp (°C)

<39 (0); >39 (3)

PaO2/FIO2 (kPa) only if ventilated on CPAP

or <13.3 (11); 13.3-26.5 (9); >26.6 (6)

Urine output (l/day)

<0.5 (11); 0.5-0.999 (4); >1 (0)

Serum urea (mmol/l)

<10 (0); 10-29.9 (6); >30 (10)

White cell count (/mm3)

<1 (12); 1-19.9 (0); >20 (3)

Serum K+ (mmol/l)

<3 (3); 3-4.9 (0); >5 (3)

Serum Na + (mmol/l)

<125 (5); 125-144 (0); >145 (1)

Serum HCO3" (mmol/l)

<15 (6); 15-19 (3); >20 (0)

Serum bilirubin (pmol/l)

<68.4 (0); 68.4-102.5 (4); >102.6 (9)

Glasgow Coma Score

<6 (26); 6-8 (13); 9-10 (7); 11-13 (5); 14-15 (0)

Chronic disease

metastatic cancer (9), haematological malignancy (10), AIDS (17)

Type of admission

scheduled surgical (0); medical (6); unscheduledsurgical (8)

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