Risk Stratification Scores for Hospitalization Duration and Disease Progression in Moderate and Severe Patients With COVID-19

Jiaqi Huang; Yu Xu; Bin Wang; Ying Xiang; Na Wu; Wenjing Zhang; Tingting Xia; Zhiquan Yuan; Chengying Li; Xiaoyue Jia; Yifan Shan; Menglei Chen; Qi Li; Li Bai; Yafei Li


BMC Pulm Med. 2021;21(120) 

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In summary, we found that moderate COVID-19 patients with more clinical symptoms, elevated platelet count, CRP and LDH, lower albumin at admission and higher body temperature during hospitalization had a high probability of longer hospital stay; severely ill patients having a history of respiratory disease, higher NLR, creatinine, LDH, and PT, lower platelet count at admission, and higher body temperature during hospitalization had a higher risk for disease progression. Using these clinical features and routine blood test indexes, we constructed two easy-to-use risk stratification score systems, named as STPCAL and TRPNCLP, to predict hospitalization duration and disease progression, respectively. In the current COVID-19 pandemic and the absence of specific remedies, early risk prediction and stratification will contribute to precise management of patients and effective use of limited health resources.

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We present this article in accordance with the STROBE reporting checklist.