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Table 1 SIRS, qSOFA, qSOFA-lactate, qSIRS and APPLEfast criteria definition

From: Evaluation of the modified quick sequential organ failure assessment scoring system for triage and prognostic assessment in canine emergency and critically ill patients: a retrospective study

Scoring system

Criteria

Point

SIRS criteria

(range 0–4)a

Respiratory rate > 40/min

1

WBC count < 5.0 or > 19.0

1

Heart rate > 150 bpm

1

Temperature < 37.2℃ or > 39.4℃

1

qSOFA criteria

(range 0–3)b

Respiratory rate > 22/min

1

Altered mentation

1

Systolic blood pressure < 100 mmHg

1

qSOFA-lactate criteria (range 0–4)c

Respiratory rate > 22/min

1

Altered mentation

1

Systolic blood pressure < 100 mmHg

1

Lactate > 3 mmol/L

1

qSIRS criteria

(range 0–6)d

Respiratory rate > 22/min

1

WBC count < 5.0 or > 19.0

1

Heart rate > 150 bpm

1

Temperature < 37.2℃ or > 39.4℃

1

Altered mentation

1

Systolic blood pressure < 100 mmHg

1

 

Glucose

APPLEfast Criteria

(range 0–50)e

Score

0

7

8

9

10

mg/dL

 > 273

 < 84

84–102

103–164

165–273

Albumin

Score

0

2

6

7

8

g/dL

3.3–3.5

 > 3.5

3.1–3.2

2.6–3.0

 < 2.6

Lactate

Score

0

4

8

12

mg/dL

 < 18.0

18.0–72.1

72.2–90.1

 > 90.1

Platelet count

Score

0

1

3

5

6

 × 109/L

261–420

 > 420

201–260

151–200

 < 151

Mentation scoref

Score

0

4

6

7

14

point

0

1

2

3

4

  1. aadapted from Otto et al. [28]; badapted from Osgood et al. [11]; cadapted from Ortolani et al. [27]; dadapted from Green et al. [24]; eadapted from Hayes et al. [19]; f0 points: normal state, 1 point: ability to stand unassisted but with dull responsiveness, 2 points: need for assistance to stand with dull responsiveness, 3 points: incapability of standing but with responsiveness, and 4 points: incapability of standing with unresponsiveness. SIRS, systemic inflammatory response syndrome; qSOFA, quick sequential organ failure score; qSIRS, SIRS + qSOFA; APPLEfast, acute patient physiologic and laboratory evaluation score; qSOFA-lactate, modified qSOFA with lactate criteria added