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  COVID-19 PRIORITY Score

 
Input
 
Age  
SpO2  
Systolic Blood Pressure  
Serum Creatinine  

Dependency (0.164)

Cardiovascular disease (CVD) (0.316)

Confusion (0.681)

Dyspnea (0.504)
On Dialysis No (0)

Yes (1)
On Oxygen No (0)

Yes (1)
Respiratory Rate  

 
Results
 
Important: Inputs must be complete to perform calculation.

 
 
Factors  
Criticality Risk  
 
Decimal Precision  
 

 
  Data action

 
     
 
Include literature references: Yes   No
 

 
Notes
  • This calculator represents findings from the literature referenced below. It is important to understand that these findings may not be representative of the experience in your local healthcare system.
  • Dependency: moderate to severe dependency correlating with a Barthel Index <60.
  • Cardiovascular Disease (CVD) includes heart failure, coronary artery disease, cerebrovascular disease, peripheral artery disease, and atrial fibrillation.

 
Equations used
 
Factors = (2.663 * (Age/100)2) + (0.844 / (SystolicBloodPressure/100)2) + Dependency + CVD + RenalFactor + Dyspnea + RespiratoryRateFactor + O2Factor + Confusion - 4.665
CriticalityRisk = 100 / (1 + e(-Factors))

 

 
Calculation Details and Variables
  • Equation parameters such as On Dialysis, have two or more discrete values that may be used in the calculation. The numbers in the parentheses, e.g. (0), represent the values that will be used.
  • RespiratoryRateFactor is assigned values by this ordered logic:
    • If Respiratory Rate >20 breaths/min, RespiratoryRateFactor = 0.911
    • Else RespiratoryRateFactor = 0.
  • RenalFactor is assigned the value of 0.586 when the Serum Creatinine is >3 mg/dL or when the patient is a dialysis recipient. Otherwise, RenalFactor is assigned the value of 0.
  • O2Factor is assigned the value of 1.2 when the SpO2 is ≤93% or when the patient is On Oxygen. Otherwise, O2Factor is assigned the value of 0.

 
References
  1. Martínez-Lacalzada M, Viteri-Noel A, Manzano L, et al. Predicting critical illness on initial diagnosis of COVID-19 based on easily obtained clinical variables: development and validation of the PRIORITY model. Clin Microbiol Infect. 2021 Jul 15:S1198-743X(21)00380-3. PubMed ID: 34274525 PubMed Logo

 
Associated Medical Subject Headings [MeSH]
 
         COVID-19,   Critical Illness,   Hospital Mortality,   Hospitalization,   Humans,   Models,   Retrospective Studies,   Risk Assessment,   Spain,   Theoretical

 
Associated Logical Observation Identifiers Names and Codes [LOINC]
 
Parameter LOINC's and Suggested Units
Age 21612-7 : yr      21612-7 : yr      21612-7 : years      30525-0 : Years old      30525-0 : yr      30525-0 : years      
SpO2 2708-6 : %      2713-6 : %      51733-4 : %      59408-5 : %      
Systolic Blood Pressure 8480-6 : mmHg      
Serum Creatinine 2160-0 : mg/dL      38483-4 : mg/dL      14682-9 : mcmol/L      22726-4 : mcmol/L      59826-8 : mcmol/L      
Respiratory Rate 9303-9 : breaths/min      9279-1 : breaths/min      76170-0 : breaths/min      19840-8 : breaths/min      

 
This material contains content from LOINC (http://loinc.org). LOINC is copyright © 1995-2023, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee and is available at no cost under the license at http://loinc.org/license. LOINC® is a registered United States trademark of Regenstrief Institute, Inc.

 

 
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All information contained in and produced by the EBMcalc system is provided for educational purposes only. This information should not be used for the diagnosis or treatment of any health problem or disease. THIS INFORMATION IS NOT INTENDED TO REPLACE CLINICAL JUDGMENT OR GUIDE INDIVIDUAL PATIENT CARE IN ANY MANNER. EBMcalc is NOT a medical device. Click here for full notice and disclaimer.
 
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