MDCalc

Veterans Health Administration COVID-19 (VACO) Index for COVID-19 Mortality

Estimates risk of 30-day mortality after COVID-19 infection using pre-COVID health status.

Developed in collaboration with the US Department of Health and Human Services (HHS), including the CDC, NIH, VA, and the ASPR.

This calculator was developed and validated in VA cohorts, and then externally validated in a non-VA patient population, noteworthy because of the VA's predominantly male population. The VACO Index predicts well in all subpopulations in which it was studied. 

years
Sex

Past Medical History for Charlson Comorbidity Index

History of Diabetes
Chronic pulmonary disease (e.g., COPD, emphysema)
Renal disease (e.g., dialysis, glomerulonephritis, nephritic syndrome)
Peripheral vascular disease
Congestive heart failure
Dementia (e.g., Alzheimer’s, vascular dementia, Lewy body dementia)
History of Cancer
Cerebrovascular accident (i.e., stroke)
History of liver disease
Myocardial infarction (heart attack)
Peptic ulcer disease
Paralysis of arm(s) or leg(s)
AIDS
Not simply HIV diagnosis
Rheumatologic disease (e.g., lupus, rheumatoid arthritis)

Result:

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Advice

The VACO Index research group is currently in the process of developing an acute model, supplementing the VACO Index with BMI, vital signs, and laboratory values to inform acute COVID-19 management.