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Evaluation tools accurately predict outcomes for COVID-19 patients

Published in American Journal of Emergency Medicine This month we report on an evaluation tool developed by Kaiser Permanente researchers and doctors. This helps ensure that patients with COVID-19 symptoms receive the right care when they need it by accurately predicting the likelihood of serious illness or death.

With pandemics rising nationwide again and hospitalizations increasing, front-line physicians often have to make quick decisions to hospitalize or discharge patients with COVID-19 symptoms. .. We have created a risk assessment that examines various patient variables that may predict significant adverse outcomes without lab or diagnostic testing. “

Adam Sharp, MD, Emergency Doctor, Kaiser Permanente Southern California Research Evaluation Division Researcher

According to Dr. Sharp, risk scores are especially helpful to doctors in making these decisions when visiting the emergency department.

An assessment tool called the COVAS score for examining comorbidities, obesity, vital signs, age, and gender has already been incorporated into the entire Kaiser Permanente electronic health record system in Southern California to guide clinical decisions in the emergency department. To do. Emergency treatment center. In this study, COVAS scores accurately predicted the probability of death within 7 days or the need for significant respiratory care in patients seen at the Kaiser Permanente Emergency Department in Southern California.

“I’m using this tool successfully for my patients in the emergency department and it helps to provide the information I need to make informed decisions with patients,” said Dr. Sharp. .. “It can help reassure low-risk patients, or instead encourage high-risk patients to receive hospital-based care that may accelerate their recovery.”

Researchers visited 26,600 emergency departments for suspected COVID-19 symptoms at 15 Kaiser Permanente Hospitals in Southern California between March 1, 2020 and April 30, 2020. We conducted a retrospective study. 19 was prevalent in the area, but immediate COVID-19 test results were not.

The results show that patients with COVID-19 symptoms such as fever, cough, dyspnea, and malaise are at the highest risk of death or respiratory decompensation requiring ventilation or high flow oxygen. Notify home and medical system. ..

Previous studies have focused on inpatients and there is little information about patients treated outside of inpatients. This task examines emergency department patients with suspected COVID-19 and provides useful information to front-line physicians to make care decisions, especially during surges that may limit hospital capacity. I’ll announce it.

Evaluation tools accurately predict outcomes for COVID-19 patients

Source link Evaluation tools accurately predict outcomes for COVID-19 patients

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