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We read with interest the article by Marcello Covino et al, 1 who evaluated the prognostic performance of four prognostic scores in 210 confirmed COVID-19 patients aged 60 years or more hospitalized via the Emergency Department. They found that all four scores had a good predictive value for in-hospital death: the ISARIC-4C score 2 had the highest area under receiver operating characteristic curve (AUROC) 0.80 (0.74-0.85), followed by the COVID-GRAM 0.78 (0.72-0.84), 3 NEWS 0.76 (0.70-0.82), 4 and quick COVID-19 severity index (qCSI) 0.75 (0.68-0.81). 5 Given the burden of the pandemic in older population, we applaud the authors for specifically evaluating these new scores in older patients. However, despite the interest of such scores for predicting short-term outcomes and helping physicians provide adequate medical care, we are afraid that their relative complexity could hinder their use in difficult contexts, especially in nursing-homes and primary care. On that point, we

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