The results of a predictive-score based on a large-scale Chinese study cannot be applied in the Belgian population. However, in our small cohort it appears that LDH above 579 UI/L and venous lactate above 3.02 mmol/l may be considered as good predictive biological factors for ICU admission. With regards to death risk, NLR above 22.1, tobacco abuse status and 80 % of respiratory impairment appears to be relevant predictive factors. A predictive score for admission to ICU or death is desperately needed in secondary hospitals. Optimal allocation of resources guided by evidence-based indicators will best guide patients at time of admission and avoid futile treatments in intensive care units.