Table 1.
The National Institutes of Health (NIH) classification | |
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1) Asymptomatic or presymptomatic infection | Positive test for SARS-CoV-2 but no symptoms |
2) Mild illness | Any signs and symptoms (e.g., fever, cough, sore throat, malaise, headache, muscle pain) without shortness of breath, dyspnea, or abnormal chest imaging |
3) Moderate illness | Evidence of lower respiratory disease by clinical assessment or imaging and a saturation of oxygen (SaO2) ≥ 94% on room air at sea level |
4) Severe illness | Respiratory frequency >30 breaths per minute, SaO2 < 94% on room air at sea level, ratio of arterial partial pressure of oxygen to fraction of inspired oxygen (PaO2/FiO2) < 300, or lung infiltrates > 50% |
5) Critical illness | Respiratory failure, septic shock, and/or multiple organ dysfunction |
Wu classification | |
1) Mild illness | No or mild symptoms (fever, fatigue, cough, and/or less common features of COVID-19) |
2) Severe illness | Tachypnea (respiratory rate >30 breaths per minute), hypoxia (oxygen saturation ≤ 93% on room air or PaO2/FiO2 < 300 mmHg), or >50% lung involvement on imaging) |
3) Critical illness | Cases with severe clinical features like respiratory failure, shock, or multiorgan dysfunction |
The National Guideline by Turkish Ministry of Health, General Directorate of Public Health | |
1) Uncomplicated cases | a) Symptoms such as fever, muscle/joint pain, cough, sore throat, and respiration without distress (respiratory rate < 24, SpO2 > 93% on room air)ANDb) Patients with normal chest X-ray and/or lung tomography |
2) Cases with mild/moderate pneumonia | a) Symptoms such as fever, muscle/joint pain, cough and sore throat, respiratory rate < 30/min, SpO2 > 90% on room airANDb) Mild-to-moderate pneumonia in chest radiography or tomography |
3) Cases with severe pneumonia | a) Symptoms such as fever, muscle/joint pain, cough and sore throat, tachypnea (30/min), SpO2 below 90% on room airANDb) Bilateral diffuse pneumonia finding on chest radiography or tomography |
4) Critical cases that may necessitate intensive care unit admission | Cases with at least one of the following clinical findings:a) Dyspnea and respiratory distressb) Respiratory rate ≥ 30/minc) PaO2/FiO2 < 300d) SpO2 < 90% or PaO2 < 70 mmHg despite 5 L/min oxygen therapye) Hypotension (systolic blood pressure < 90 mmHg and 40 mmHg from usual SBP and mean arterial pressure < 65 mmHg, tachycardia > 100/minf) Acute kidney injury, abnormal liver function test, development of acute organ dysfunction such as confusion, acute bleeding diathesis, and patients with immunosuppressiong) High troponin levels and arrhythmiah) Lactate > 2 mmoli) Skin disorders such as capillary return disorder and cutis marmaratus |
COVID-19: Coronavirus disease 2019, SARS-CoV-2: Severe acute respiratory syndrome coronavirus 2