Covid-19 (4C Mortality Score)

The 4C mortality score has been developed by ISARIC[BMJ], based on 35.463 UK Covid-19 patients.

If cases climb prognostication may become more important and this appears to be a good tool developed on a UK population.

4C Mortality Score tool – Click HERE

Factors:

  • Age: <50(0), 50-59(2), 60-69(4), 70-79(6), ≥80(7)
  • Sex: Female(0), Male(1)
  • Comorbidities*: None(0), 1(1), ≥2(2)
  • Respiratory Rate: <20(0), 20-29(1), ≥30(2)
  • Oxygen Saturations (Air): ≥92(0), <92(2)
  • GCS: 15(0), <15(2)
  • Urea: ≤7(0), 7-14(1), >14(3)
  • CRP: <50(0), 50-99(1), ≥100(2)

*Comorbidities inc:  Chronic cardiac disease; chronic respiratory disease (excluding asthma); chronic renal disease (estimated glomerular filtration rate ≤30); mild-to-severe liver disease; dementia; chronic neurological conditions; connective tissue disease; diabetes mellitus (diet, tablet or insulin-controlled); HIV/AIDS; malignancy; clinician-defined obesity.

 

Risk Score (sum of the factor scores)

  • Low 0-3: 1.2% mortality
  • Intermediate 4-8: 9.9% mortality
  • High 9-14: 31.4% mortality
  • Very High ≥15: 61.5% mortality

4C Mortality Score tool – Click HERE

 

Leave a Reply

Your email address will not be published. Required fields are marked *

twenty − 16 =

This site uses Akismet to reduce spam. Learn how your comment data is processed.