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The COVID-GRAM (COVID-19 Gram Risk Assessment Model) is a validated scoring tool derived from a large Chinese multicenter cohort (> 1,500 COVID-19 patients from 575 hospitals) to predict the probability of critical illness (composite: ICU admission, invasive mechanical ventilation, or death) in hospitalized COVID-19 patients. COVID-GRAM incorporates 10 variables identified through LASSO regression and multivariate logistic regression. A web-based calculator providing percentage risk outputs was made widely available during the early pandemic and gained international adoption.
Chest X-Ray Abnormalities
Age
Hemoptysis at Presentation
Dyspnea Present
Consciousness: Any Alteration (confusion, delirium, decreased responsiveness)
LDH (Lactate Dehydrogenase)
Lymphocyte Count
Direct Bilirubin
Comorbidities (COPD, hypertension, coronary artery disease, diabetes, malignancy, CKD)
Creatinine
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