Bello-Chavolla et al reported a score for predicting mortality in a patient with COVID-19. This identifies a number of metabolic and other factors that may impact prognosis. The authors are from multiple institutions in Mexico.
Patient selection: COVID-19 infection
Parameters:
(1) age in years
(2) diabetes
(3) pneumonia
(4) chronic kidney disease (CKD)
(5) immunosuppression
(6) COPD
(7) obesity
Parameter
Finding
Points
age in years
< 40 years
-6
40 to 64 years
0
>= 65 years
3
diabetes
no
0
yes and age < 40 years
5
yes and age >= 40 years
1
pneumonia
no
0
yes
7
CKD
no
0
yes
3
immunosuppression
no
0
yes
1
COPD
no
0
yes
1
obesity
no
0
yes
1
total score =
= SUM(points for all of the parameters)
Interpretation:
• minimum score: -6
• maximum score: 21
• The higher the score the worse the survival.
Total Score
Risk Category
<= 0
low
1 to 3
mild
4 to 7
moderate
8 to 11
high
12 to 21
very high
Performance:
• The area under the ROC curve was 0.823.
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