The PRIEST COVID-19 clinical severity score

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The PRIEST COVID-19 clinical severity score is essentially:

The NEWS2 score
+ 2 points for age 50-65, 3 points for age 66-80, 4 points for age ≥80
+ 1 point for male sex
+ 1 point for each level of performance status below unrestricted normal activity.

The table below shows the detailed score.

Variable Range Score
Respiratory rate (per minute) 12-20 0
  9-11 1
  21-24 2
  <9 or >24 3
Oxygen saturation (%) >95 0
  94-95 1
  92-93 2
  <92 3
Heart rate (per minute) 51-90 0
  41-50 or 91-110 1
  111-130 2
  <41 or >130 3
Systolic BP (mmHg) 111-219 0
  101-110 1
  91-100 2
  <91 or >219 3
Temperature (°C) 36.1-38.0 0
  35.1-36.0 or 38.1-39.0 1
  >39.0 2
  <35.1 3
Alertness Alert 0
  Confused or not alert 3
Inspired oxygen Air 0
  Supplemental oxygen 2
Sex Female 0
  Male 1
Age (years) 16-49 0
  50-65 2
  66-80 3
  >80 4
Performance status Unrestricted normal activity 0
  Limited strenuous activity, can do light activity 1
  Limited activity, can self-care 2
  Limited self-care 3
  Bed/chair bound, no self-care 4

Probability of adverse outcome figure

Sensitivity and Specificity table

This project is funded by the National Institute for Health Research Health Technology Assessment (NIHR HTA) Programme (project number 11/46/07). Any views or opinions expressed are those of the authors and do not necessarily reflect those of the HTA programme, NIHR, NHS or the Department of Health.

Related information

PRIEST study