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    Patent Pending

    COVID-GRAM Critical Illness Risk Score

    Predicts risk of critical illness in hospitalized COVID-19 patients.

    IMPORTANT

    Launched during COVID-19 crisis. COVID-19 Resource Center.

    INSTRUCTIONS

    This score was developed in China and includes hospitalized inpatients and their risk of critical illness; the authors do not state the indications for admission. 

    The score was internally validated but has not been externally validated.

    When to Use
    Pearls/Pitfalls
    Why Use

    Patients admitted to the hospital for presumed COVID-19 infection.

    • This score is only for hospitalized patients and did not include ED patients; it should not be used to suggest which patients should be admitted or discharged.
    • While the study included 2300 patients, the average age of the admitted patients was quite young (48 years old). Very few had multiple comorbidities, which may make this study less applicable to other populations, like in the US.
    • For example, while the authors use a list of 10 possible comorbidities, only 3 patients had 5 comorbidities; 5 of these comorbidities would be relatively common in populations in the US.
    • The score was internally validated but has not been externally validated.

    This score may help risk stratify admitted patients to help predict which should have closer monitoring (more frequent assessments or ICU admission) due to risk of progression to critical illness.

    No
    Yes
    years
    No
    Yes
    No
    Yes
    No
    Yes
    0
    1
    2
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    5
    No
    Yes
    U/L
    mg/dL
    Confirmed positive
    Suspected
    Unlikely
    Confirmed negative

    Result:

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    Next Steps
    Evidence
    Creator Insights
    Dr. Wenhua Liang

    About the Creator

    Wenhua Liang, MD, is an associated professor in the department of thoracic oncology at the First Affiliated Hospital Guangzhou Medical University in China. He is also secretary general and chairman of the Immunotherapy Committee of Guangdong Association of Thoracic Disease. Dr. Liang's primary research is focused on lung cancer case management and clinical data mining.

    To view Dr. Wenhua Liang's publications, visit PubMed

    Are you Dr. Wenhua Liang? Send us a message to review your photo and bio, and find out how to submit Creator Insights!
    MDCalc loves calculator creators – researchers who, through intelligent and often complex methods, discover tools that describe scientific facts that can then be applied in practice. These are real scientific discoveries about the nature of the human body, which can be invaluable to physicians taking care of patients.
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