Table 1 Abbreviated MEDS score
VariableDefined asPoints
Terminal illnessMetastatic cancer or chronic illness with >50% likelihood of fatality within 28 days6
Tachypnoea/hypoxiaRespiratory rate >20 or Spo2 <90%3
Septic shockSepsis plus a systolic blood pressure <90 mm Hg despite a 20–30 ml/kg fluid bolus3
Platelet count <150 000/mm33
Age >65 years3
Lower respiratory tract infectionBased on clinical findings2
Nursing home resident2
Altered mental stateGlasgow coma score <152
Total possible score24
  • Spo2, oxygen saturation.