Table 1 NEWS2, RETTS and the Predict Sepsis screening tools
NEWS2 (20) | RETTS (21) | Predict Sepsis screening tool 1 (27) | Predict Sepsis screening tool 2 (27) | Predict Sepsis screening tool 3 (27) | |
|---|---|---|---|---|---|
Number of included variables | 6 | 9 variables in VS part described below + ESS* | 6 | 4 | 6 |
Score considered positive for suspected sepsis | ≥ 5 is recom-mended (20) but some sepsis alerts (35) suggest ≥ 7 | RETTS red is used in some sepsis alerts (36) | ≥ 2 | ≥ 2 | ≥ 2 |
Included variables with weights | |||||
Respiratory rate | ≤ 8 = 3 9–11 = 1 12–20 = 0 21–24 = 2 ≥ 25 = 3 | > 30 or < 8 = red 26–30 = orange 8–25 = green | X | X | > 24 = 1 |
Oxygen saturation | ≤ 91 = 3 92–93 = 2 94–95 = 1 ≥ 96 = 0 | < 90 with O2 = red < 90 without O2 = orange 90–95 without O2 = yellow > 95 without O2 = green | X | X | < 94 = 1 |
Systolic blood pressure | ≤ 90 = 3 91–100 = 2 101–110 = 1 111–219 = 0 ≥ 220 = 3 | < 90 = red | ≤ 100 = 2 | ≤ 100 = 2 | ≤ 100 = 2 |
Heart rate | ≤ 40 = 3 41–50 = 1 51–90 = 0 91–110 = 1 111–130 = 2 ≥ 131 = 3 | Regular > 130 or irregular > 150 = red > 120 or < 40 = orange > 110 or < 50 = yellow 50–110 = green | X | X | > 110 = 1 |
Consciousness | (AVPU in parenthesis) GCS ≤ 14 (C, V, P, or U) = 3 GCS ≥ 15 (A) = 0 | (RLS in parenthesis) GCS < 8 (unconscious) = red GCS 8–12 (2–3) = orange GCS 13–14 (acutely disoriented) = yellow GCS 15 (alert) = green | GCS < 15 = 2 History of acute altered mental status = 1 | History of acute altered mental status and/or GCS < 15 = 1 | GCS < 15 = 2 |
Temperature, degrees C | ≤ 35,0 = 3 35,1–36,0 = 1 36,1–38,0 = 0 38,1–39,0 = 1 ≥ 39,1 = 2 | > 41 or < 35 = orange 38.6–41 = yellow 35–38.5 = green | 38.1–38.5 = 1 > 38.5 = 2 | 38.1–38.5 = 1 > 38.5 = 2 | 38.1–38.5 = 1 > 38.5 = 2 |
Other variables | X | Obstructed airway = red Stridor = red Ongoing seizures = red | Gastrointestinal symptoms = 1 P-Lactate > 4.0 = 2 | Gastrointestinal symptoms = 1 | X |