TABLE 1.

Scoring Based on Comprehensive Assessment and Criteria for Patients Requiring Inpatient Care^a Among Adults With TB^b

Criteria	Considered to Be Emergency c	Scoring Criteria	Score Assigned d
Pulse rate per minute		<60	2
		>100 (persistent after 30 minutes)	2
BMI, kg/m2	Yes (<14)	<14	1
		<16 with pedal edema	1
		>40	1
MUAC, cm		<16	1
Temperature, Celsius	Yes (<35, >41)	<35	2
		>41	2
Blood pressure, mmHg	Yes	Hypertension (≥140/90)	2
		Hypotension (diastolic <60)	2
Respiratory rate, breaths/minute	Yes (>24)	18–24	1
		25–30	2
		>30	3
Oxygen saturation, %	Yes (<94)	90–93	1
		85–89	2
		<85	3
Hemoglobin, g/dL	Yes (<7)	<7	2
Icterus		Present	1
Pedal edema		Present	1
General condition	Yes (if unable to walk, drowsy, unconscious)	Inability to walk but conscious and oriented	1
		Conscious, not oriented	2
		Drowsy	3
HIV		Positive and on ART	1
		Positive and not on ART	2
Random blood sugar, mg/dL		<70	2
		>200	2
Total WBC count, WBC/microliter		Total count >11,000	1
		Total count <4,000	1
Chest radiograph	Yes (massive pneumothorax, hydropneumothorax)	Hydropneumothorax	3
		Bilateral consolidation	2
Hemoptysis	Yes	Present	3

Abbreviations: ART, antiretroviral therapy; BMI, body mass index; MUAC, mid-upper arm circumference; WBC, white blood cell.

^aModifications to the criteria provided by Central TB Division 2021 technical guidance⁵: blood sugar of >128 replaced with >200. In addition, inpatient care may be provided irrespective of the total score or presence/absence of emergency criteria if the treating physician feels the need for inpatient care.

^bBased on Central TB Division 2021 Technical Guidance on Differentiated Care of TB Patients in India.⁵

^cIf there is an indicator suggesting emergency, the inpatient care should be provided irrespective of the total score.

^dPatients with total score more than 1 to be provided inpatient care, and patients with total score more than 3 to be provided inpatient care in a facility with intensive care unit.