qSOFA (0–3) | NEWS (0–20) | Iteration 1 | Iteration 2 | Iteration 3 | |
---|---|---|---|---|---|
Positive if: | ≥ 2 points | ≥ 7 points* | ≥ 2 points or D alone | qSOFA ≥ 2 or any of the following | Any of the following |
A/B | RR > 21/min (1) | RR, breaths per min (0–3): 0, 12–20 1, 9–11 2, 21–24 3, ≥ 25 or < 8 SpO2, % (0–3): 0, > 96 1, 94–95 2, 92–93 3, < 91 O2 supplement (0–2): No (0) Yes (2) | RR > 25/min or SpO2 < 90% (1) | SpO2 < 85% | SpO2 < 90% |
C | SBP ≤ 100 mmHg (1) | HR, beats per min (0–3): 0, 51–90 1, 41–50 or 90–110 2, 111–130 3, 131 SBP, mmHg (0–3): 0, 111–219 1, 101–110 2, 91–100 3, ≥ 220 or ≤ 90 | SBP < 100 mmHg (1) Lactate ≥ 3 mmol/l (1) | SBP < 85 mmHg | SBP < 90 mmHg or |
D | Altered mentation (1) | AVPU Scale Alert (0), reacting to voice or pain or unresponsive (3) | GCS < 15 (1) | GCS < 15 | GCS < 15 |
E | n.a | Body temperature, °C (0–3): 0, 36.1–38 1, 35.1–36 or 38.1–39 2, > 39.1 3, ≤ 35 | n.a | n.a | n.a |