Printed on 4/19/2026
For informational purposes only. This is not medical advice.
The Quick COVID Severity Index (qCSI) is a bedside score designed to estimate near-term respiratory decompensation risk in adults with respiratory infection syndromes. It uses three immediately available variables: respiratory rate, pulse oximetry, and nasal cannula oxygen flow rate.
Formula: qCSI = respiratory rate points + SpO2 points + oxygen flow points (0-12).
qCSI was developed as a quick bedside model for predicting early respiratory decompensation risk in hospitalized COVID-era populations.
Higher qCSI scores indicate greater short-term risk of respiratory deterioration. Lower scores suggest lower immediate risk, while upper bands warrant closer monitoring and escalation readiness.
Use qCSI as risk support rather than a stand-alone disposition rule.
Use qCSI in adults with acute respiratory infection syndromes when triaging decompensation risk based on bedside respiratory variables.
It is useful for rapid reassessment and communication of risk trajectory.
qCSI is cohort-derived and not a universal substitute for clinician judgment, imaging, labs, or full organ-failure assessment.
Patients can deteriorate despite low initial scores, so serial reassessment remains mandatory.
For related assessments, see NEWS2 Score, qSOFA Score and P/F Ratio.
Disclaimer: This tool is for educational and informational purposes only. It is not a substitute for professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider with questions about your health.
Calculate NEWS2 from vital signs and mental status to detect acute clinical deterioration and guide escalation urgency.
EmergencyCalculate qSOFA bedside sepsis risk score. A score of 2 or more (altered mentation, RR ≥22, SBP ≤100) flags high-risk infection requiring urgent evaluation.
PulmonologyCalculate the P/F ratio to classify ARDS severity by Berlin criteria. Mild: 200–300 (27% mortality). Moderate: 100–200 (32%). Severe: <100 (45%). Normal P/F is 400–500.
ClinicalCalculate the alveolar-arterial oxygen gradient to evaluate the cause of hypoxemia. Differentiates lung pathology from hypoventilation.