Sunday, November 29, 2020

COVID prognostic models

PulmCrit (EMCrit)
PulmCrit – November 28, 2020 by Josh Farkas
"Summary: The Bullet
  • Dozens of prognostic scoring systems have been designed for COVID-19. Most have not been adequately validated and are not currently appropriate for general clinical use.
  • The 4C score currently appears to be the most robust and best-validated overall score to predict COVID-related mortality. Shifts in mortality over time may prevent the 4C score from correctly predicting the absolute mortality risk – but the score may remain a useful risk-stratification tool.
  • qCSI  may be the most effective physiological risk score. It is a simple bedside tool which helps predict the patient’s likelihood of progressing to respiratory failure within the next 24 hours.
  • It remains unknown how much prognostic scores might add to our clinical judgement. Like other decision support tools, these certainly cannot supplant clinical judgement – but they might be useful as an electronic second opinion."