APPLEfast Score

Clinical judgment required. This calculator is a decision-support tool, not a substitute for veterinary consultation.

APPLEfast ScoreCanineFeline

Acute Patient Physiologic and Laboratory Evaluation (APPLE) fast score for canine ICU patients. Five-variable severity-of-illness model using glucose, lactate, albumin, platelet count, and mentation status. Total score ranges 0–50; scores >25 predict mortality with 85% specificity and 67% sensitivity. Developed by Hayes et al. (2010) from 810 ICU admissions. Used for ICU triage, prognosis estimation, mortality risk stratification, critical care monitoring, and guiding intensity of treatment. Common queries: 'ICU prognosis score for a dog' or 'APPLE score critical care'.

mmol/L
g/dL
×10³/µL

Mental status at the time of initial examination

APPLEfast Score
27/50
27 /50
11 /50
21 /50
26 /50
Low
Moderate
High
High27 /50

Very high risk — grave prognosis (>25 predicts mortality at 85% specificity). Frank discussion with owner recommended

APPLEfast Score | VetChamp