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Description

Kellett et al modified the ViEWS early warning score. The authors are from Nenagh Hospital in Ireland and Thunder Bay Regional Health Sciences Center in Canada.


Patient selection: inpatient

 

Distinction from the original ViEWS: does not score CNS status (AVPU)

 

Parameters:

(1) pulse in beats per minute

(2) breathing rate in breaths per minute

(3) temperature in °C

(4) systolic blood pressure in mm Hg

(5) oxygen saturation in percent

(6) inspired oxygen

 

Parameter

Fiinding

Points

pulse

<= 40

2

 

41 to 50

1

 

51 to 90

0

 

91 to 110

1

 

111 to 130

2

 

>= 131

3

breathing rate

< 8

3

 

9 to 11

1

 

12 to 20

0

 

21 to 24

2

 

>= 25

3

temperature

<= 35.0°C

3

 

35.1 to 36.0

1

 

36.1 to 38.0

0

 

38.1 to 39.0

1

 

>= 39.1

2

systolic blood pressure

<= 90

3

 

91 to 100

2

 

101 to 110

1

 

111 to 249

0

 

>= 250

1

oxygen saturation

<= 91

3

 

92 to 93

2

 

94 to 95

1

 

>= 96

0

inspired oxygen

room air

0

 

any supplemental

3

 

total score =

= SUM(points for all 6 parameters)

 

Interpretation:

minimum score: 0

maximum score: 18

The higher the score the greater the risk of deterioration and mortality.

The significance of a result varies with the type of patient (oncology, stroke, ICU, etc).

 

Score

ICU 24-Hour Mortality

0 to 2

0.6%

3 to 6

7.9%

7 to 10

16.7%

>= 11

32.1%

 

Performance:

The area under the ROC curve is 0.72.


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