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. 2023 Nov 16;7:e44250. doi: 10.2196/44250

Table 1.

Emory Healthcare COVID-19 Virtual Outpatient Management Clinic's risk assessment algorithm.


Tier 1 (low risk) Tier 2 (intermediate risk) Tier 3 (high risk)
Patient characteristics Age <60 years (no risk factors) Age <60 years with 1-2 moderate risk factorsa; age 60-69 years with no risk factors or 1 controlled moderate risk factor; pregnant patients Age ≥70 years; age <70 years with 1 or more high risk factorsb; age 60-69 years with 1 or more moderate risk factors; age <60 years with 3 or more moderate risk factors
Symptoms Nonspecific, upper respiratory tract infection, or cough Nonspecific, upper respiratory tract infection, or cough Severe cough, DOEc, wheezing, and chest tightness
Course Stable (if within the first 6 days) or improving Stable (if within the first 6 days) or improving; otherwise, tier 1 patient without improvement after 6 days Any new or worsening lower respiratory tract infection symptoms; otherwise, tier 2 patient without improvement after 6 days; or nonrespiratory complication or decompensated chronic condition
Support system Able to self-isolate; adequate support Otherwise tier 1, but uncertain support Otherwise lower tier, but unstable support system

aModerate risk factors include a BMI between 30 and 39 kg/m2, asthma, chronic kidney disease, diabetes mellitus, hypertension, pregnancy, and smoking (past or current).

bHigh risk factors include a BMI of >40 kg/m2, metabolic syndrome, cirrhosis, cardiovascular disease, chronic obstructive pulmonary disease, end-stage renal disease, immunocompromised status, frailty, and living in a health care facility.

cDOE: dyspnea on exertion.