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Research

Risk stratification of patients admitted to hospital with covid-19 using the ISARIC WHO Clinical Characterisation Protocol: development and validation of the 4C Mortality Score

BMJ 2020; 370 doi: https://doi.org/10.1136/bmj.m3339 (Published 09 September 2020) Cite this as: BMJ 2020;370:m3339

Linked Editorial

Prediction models for covid-19 outcomes

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Rapid Response:

Adapting the 4C mortality score for Risk stratification in primary care.

Dear Editor,

In primary care, could blood ESR and urine Specific Gravity be substituted for blood CRP and Urea to enable primary care clinicians to provide a rapid appropriate further care plan discussion and treatment.

A patient who prefers to stay at home first, may benefit from a similar risk score to enable a timely and appropriate escalation to palliative care needs.

Could such an adapted tool be used, to stratify risk and further monitor ‘home first’ patients in general practice virtual wards, to improve quality intended outcomes of care?

Competing interests: No competing interests

19 September 2020
Duncan C H Green
General Practitioner
Ardach Health Centre
Moray