Abstract
Introduction: The COVID-19 crisis is continuously taxing the world with a huge impact on mortality, morbidity and disease related mental stress. COVID-19 has a variable presentation encompassing from simple myalgias to development of ARDS. Early detection of patients with severe COVID 19 infection by utilizing simple bed side clinical tool like qSOFA, which has been previously used for detection of severity of sepsis could help us in early triage and subsequent management of these patients in specialized dedicated units of the hospital. Thus help in limiting the mortality and morbidity because of this deadly contagion. 
 Aims & Objectives: To correlate the severity of qSOFA score with the clinical severity and outcome of COVID-19 infection at presentation among admitted patients in tertiary care hospitals of Lahore.
 Place and duration of study: This study was conducted simultaneously at three tertiary care hospitals of Lahore, including Lahore General Hospital, Jinnah Hospital Lahore and Chaudhary Muhammad Akram Teaching and Research Hospital, Lahore.
 Material & Methods: A retrospective descriptive study on 120 RT PCR positive confirmed COVID-19 patients of both genders, more than 18 years of age. Case records of patients admitted in General Corona ward, Isolation wards, HDUs and ICUs were analyzed. The data analysis was done in SPSS version 20. Factors including blood pressure, respiratory rate, and conscious level were used to calculate the qSOFA score. COVID 19 infection was divided into mild, moderate, severe and critically ill. The relationship of qSOFA score was studied with severity of COVID-19 infection, outcome of disease and age by using the Pearson correlation.
 Results: Eighty-four (70%) patients were male and thirty-six (30%) were female, with mean age of 59.42 ± 13.49 years. Sixty-eight, twenty-five, five and 0.8 percent patients had critical, severe, moderate and mild disease respectively. Most frequent comorbids found were hypertension, diabetes, ischemic heart disease. A statistically significant correlation was observed between qSOFA with severity of COVID 19, age, and outcome of infection at the level of 0.01.
 Conclusion: qSOFA is a reliable bedside tool to measure severity and predict outcome of COVID 19 infection.
Highlights
The COVID-19 crisis is continuously taxing the world with a huge impact on mortality, morbidity and disease related mental stress
COVID-19 presents with a myriad of symptoms which are mild in majority of cases, whereas more serious symptoms of pneumonia are experienced in 15% of the patients
A dire need was felt to identify a scoring system which would help in early triage of all patients with COVID-19, so that prompt management could be initiated in dedicated hospital quarters
Summary
The COVID-19 crisis is continuously taxing the world with a huge impact on mortality, morbidity and disease related mental stress. The incubation period of this virus is 1 to 14 days.[4] Most of the people start experiencing symptoms on the 6th day after exposure to the virus.[5] SARS-COV-2 or COVID-19 is an ongoing global catastrophe which may persist for some years to Correlation of qSOFA with Severity of COVID-19 Infection Assessed on Admission at Tertiary Care Hospital come It has a huge impact on mortality, morbidity and disease related mental stress. In this retrospective study we wanted to assess the reliability of qSOFA score in our local Pakistani setup in predicting severity of COVID 19 infection through coorelation with clinical severity as well as its outcome By using this simple bedside scoring system, critically ill patients could be triaged early and managed effectively
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