With input from Dr Monica Vasudev

4C mortality score predicts mortality in hospitalized patients with COVID-19

4C (Coronavirus Clinical Characterisation Consortium) Mortality Score can be used to accurately categorize patients hospitalized with coronavirus disease 2019 (COVID-19) as being at low, intermediate, high, or very high risk of death, according to a study published in The BMJ.

The 4C Mortality Score uses 8 variables -- age, sex, number of comorbidities, respiratory rate, peripheral oxygen saturation, level of consciousness, urea level, and C reactive protein -- to calculate a score that ranges from 0 to 21 points.

1. 0 – 3: Low risk of mortality
2. 4 to 8: Intermediate risk
3. 9 to 14: High risk
4. ≥15: Highest mortality risk.

[British Medical Journal]

        * Comorbidities were defined by using Charlson comorbidity index, with the addition of clinician defined obesity.

Dr KK Aggarwal

President CMAAO, HCFI and Past National President IMA