|
| Score | |
| Diabetes | Not applicable | 0 |
| Compensated/controlled | 1 | |
| Uncompensated/uncontrolled | 2 | |
| Hypertension | Not applicable | 0 |
| Compensated/controlled | 1 | |
| Uncompensated/uncontrolled | 2 | |
| Obesity | BMI < 30 | 0 |
| BMI 30 - 40 | 1 | |
| BMI > 40 | 2 | |
| Tobacco/nicotine use | No | 0 |
| Yes | 1 | |
| Cardiovascular disease | Not applicable | 0 |
| Compensated/controlled | 1 | |
| Uncompensated/uncontrolled | 2 | |
| Diseases with impaired coagulation | Not applicable | 0 |
| Compensated/controlled | 1 | |
| Uncompensated/uncontrolled | 2 | |
| Chronic lung disease | Not applicable | 0 |
| Compensated/controlled | 1 | |
| Uncompensated/uncontrolled | 2 | |
| Chronic liver disease | Not applicable | 0 |
| Compensated/controlled | 1 | |
| Uncompensated/uncontrolled | 2 | |
| Immunosuppressed diseases | Not applicable | 0 |
| Compensated/controlled | 1 | |
| Uncompensated/uncontrolled | 2 | |
| Rheumatic/autoimmune disease | Not applicable | 0 |
| Without risk treatment | 1 | |
| With risk treatment | 2 | |
| Chronic inflammatory bowel disease | Not applicable | 0 |
| Without risk treatment | 1 | |
| With risk treatment | 2 | |