方法对比

	改良早期预警评分	CURB-65肺炎严重程度评分	快速序贯器官衰竭评估（qSOFA）评分
领域	临床评估	临床评估	临床评估
方法族	Process / pipeline	Process / pipeline	Process / pipeline
起源年份	2001	2003	2016
提出者	Christian P. Subbe, et al.	W. Staniford Lim, et al.	Sepsis-3 Taskforce
类型	Hospital ward deterioration warning system	Community-acquired pneumonia severity assessment	Rapid sepsis screening
开创性文献	Subbe, C. P., Kruger, M., Rutherford, P., & Gemmel, L. (2001). Validation of a modified Early Warning Score in medical admissions. QJM: An International Journal of Medicine, 94(10), 521-526.	Lim, W. S., van der Eerden, M. M., Laing, R., et al. (2003). Defining community acquired pneumonia severity on presentation to hospital: an international derivation and validation study. Thorax, 58(5), 377-382.	Singer, M., Deutschman, C. S., Seymour, C. W., et al. (2016). The Third International Consensus Definitions for Sepsis and Septic Shock (Sepsis-3). JAMA, 315(8), 801-810.
别名	MEWS, Early warning score	CURB-65, Pneumonia severity	Quick SOFA, qSOFA
相关	3	3	3
摘要	The Modified Early Warning Score (MEWS), introduced by Subbe et al. in 2001, is a 14-point alert system designed for rapid detection of clinical deterioration in hospitalized patients. It combines six vital sign and laboratory parameters to identify patients at high risk of rapid decline, enabling early intervention before critical events occur.	CURB-65, derived and validated by Lim et al. in 2003, is a 5-point severity of illness score for community-acquired pneumonia (CAP). It assesses confusion, urea nitrogen, respiratory rate, blood pressure, and age ≥65 years to stratify mortality risk and guide admission and treatment decisions.	The Quick Sequential Organ Failure Assessment (qSOFA) score, introduced by the Sepsis-3 taskforce in 2016, is a rapid 3-variable bedside screening tool for identifying non-ICU patients at high risk of sepsis-related mortality. It uses altered mentation, systolic hypotension, and tachypnea to quickly stratify patients without requiring laboratory testing.