Ben Kridis et al reported a Milano Policlinico ONCOVID modified score for evaluating a cancer patient with COVID-19. The authors are from Habib Bourguiba Hospital University of Sfax in Tunisia.
Patient selection: cancer patient with COVID-19
Parameters:
(1) sex of the patient
(2) ECOG performance status
(3) age in years
(4) body mass index (BMI)
(5) number of comorbidities
(6) concomitant steroid therapy
(7) thoracic tumor
(8) history of thoracic radiotherapy
(9) adjuvant chemotherapy
(10) type of treatment
(11) history of immune-related adverse events (IRAE)
(12) neutrophil-to-lymphocyte ratio
Parameter
Finding
Points
sex
female
0
male
1
ECOG
0 or 1
0
2 to 4
1
age
< 70 years
0
>= 70 years
1
BMI
< 30 kg per sq m
0
>= 30 kg per sq m
1
comorbidities
0
0
1
1
>= 2
2
steroid therapy
no
0
yes
1
thoracic tumor
no
0
yes
1
thoracic radiotherapy
no
0
yes
1
adjuvant chemotherapy
no
0
yes
1
type of treatment
chemotherapy
1
chemotherapy and immunotherapy
2
immunotherapy
2
other
0
history of IRAE
no
0
pneumonitis
2
other immune
1
NLR
< 5
0
>= 5
1
total score =
= SUM(points for all of the parameters)
Interpretation:
• minimum score: 0
• maximum score: 15
Total Score
Risk Category
0 to 3
low
4 to 6
intermediate
7 to 15
high
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