key: cord-1035628-xjxbbplx
authors: Magoon, Rohan
title: The ‘core’ of the ‘score’(COVID-19)?
date: 2020-11-08
journal: Med Hypotheses
DOI: 10.1016/j.mehy.2020.110361
sha: fdcdf3c35e158fd71caaa66fff3d60dc068d379b
doc_id: 1035628
cord_uid: xjxbbplx

nan

Dear Editor, I read with great interest the hypothesis by Khandelwal and colleagues suggesting that the scoring acronym, COVID-19, can predict the need of tracheal intubation in critically ill patients ailing from SARS-CoV-2 pneumonia [1] . While I appreciate the vision of the authors to the formulate a parsimonious scoring system, discrete areas of lack of comprehensiveness and objectivity in the symbolic score, mandate elucidation. (ii) At the same time, lack of a stratified presentation so as to what amounts to a low, moderate or a high inotropic dose, adds to the contextual ambiguity. Alternatively, the authors could have incorporated any of the described versions of inotropic scoring systems to assist the stratification of hemodynamic support [5] .

(iii) In addition, chest X-Ray or CT Scan based component 'D', signifying damage to the lungs (graded as none-minimal, moderate or severe) is also far from objective.

With discernible subjectivity in 2 out of 5 components of the COVID-19 score, a more pragmatic improvisation is doubtlessly warranted while applying the novel score in the critically ill COVID-19 cohort, in order to strengthen the 'core' of the 'score'.

Nothing to declare.

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