Core COVID-19 Calculators
As a thank you for being on the front lines, get up to 6 free AMA PRA Category 1 CreditsTM for these calcs.
What's New?
- Fri 4/17/2020: ROX Index for Intubation - Predicts high-flow nasal cannula (HFNC) failure/need for intubation.
- Fri 4/17/2020: SIC Score - Predicts likelihood of sepsis-induced coagulopathy.
Overall Hospital Management
- Brescia-COVID Severity Scale/Algorithm - Italian step-wise approach to managing all COVID-19 inpatients.
- MuLBSTA Score - Only score specific for Viral PNA; not yet externally validated.
- PSI/PORT Score - Well-studied PNA score for all-comers.
- Absolute Lymphocyte Count - Lymphopenia appears to suggest COVID infection.
ICU - Respiratory
- ROX Index for Intubation - Predicts high-flow nasal cannula (HFNC) failure/need for intubation.
- A-a O₂ Gradient - Worsening A-a gradient suggests worsening respiratory severity.
- Rapid Shallow Breathing Index (RSBI) - Predicts successful extubation.
ICU - ARDS and ECMO
- Horowitz Index for Lung Function (P/F Ratio) - Quantifies degree of hypoxia; helps define ARDS severity.
- Murray Score for Acute Lung Injury - Standard score for determining when ECMO indicated.
- RESP Score - Predicts mortality on ECMO.
- Berlin Criteria - Provides diagnostic criteria for acute respiratory distress syndrome (ARDS).
ICU - Inflammation and Thrombosis
- HScore - Screens for cytokine storm (including in COVID-19), when immunosuppression may be helpful (immunosuppression controversial).
- SIC Score - Predicts likelihood of sepsis-induced coagulopathy.
- ISTH Criteria for DIC - Classically diagnoses DIC; one measure of COVID-19 associated coagulopathy, which was associated with poor prognosis.
Scarce Resource Allocation
- SOFA Score - Broad illness severity score; included in some scarce resource protocols.
- mSOFA - Broad illness severity; requires fewer labs than SOFA.
- Charlson Comorbidity Index - Widely used estimate of co-morbidity burden, estimates outcomes.
- RESP Score - Predicts mortality on ECMO.
No comments:
Post a Comment