Thursday, August 6, 2020

COVID-19 Severity index

R.E.B.E.L.EM - August 06, 2020 - By Anand Swaminathan

Article: Haimovich A et al. Development and validation of the quick COVID-19 severity index (qCSI): a prognostic tool for early decompensation. Ann Emerg Med 2020. Link
Clinical Question: Can an Emergency Department (ED) risk stratification tool be created that predicts respiratory failure within 24 hours of admission in patients with COVID-19?Authors Conclusions: “A significant proportion of admitted COVID-19 patients progress to respiratory failure within 24 hours of admission. These events are accurately predicted using bedside respiratory exam findings within a simple scoring system.”
Our Conclusions: The qCSI is a good initial attempt to derive a CDI to support clinicians in disposition decisions for COVID-19 patients who require hospital admission. However, prospective as well as external validation is necessary prior to widespread use can be recommended.
Potential to Impact Current Practice: While we do not recommend using this tool in lieu of experienced clinician gestalt, there may be a role for its use in less experienced clinicians or, for non-emergency clinicians that support EDs during the pandemic.“