An easy-to-use prehospital severity scoring tool to triage COVID-19 positive adults in a resource-limited setting
Objective: To develop an easy-to-use severity scoring tool for prehospital triage of patients infected by the coronavirus disease-2019 in resource-limited settings. Method: The cohort study was conducted at a tertiary care hospital in Karachi, from August to September 2020, and comprised adult pa...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Pakistan Medical Association
2023-09-01
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| Series: | Journal of the Pakistan Medical Association |
| Subjects: | |
| Online Access: | https://ojs.jpma.org.pk/index.php/public_html/article/view/6058 |
| _version_ | 1797685219768139776 |
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| author | Danish Ali Mustafa Zubairi Maaha Ayub Safia Awan Akbar Shoukat Ali Ali Bin Sarwar Zubairi |
| author_facet | Danish Ali Mustafa Zubairi Maaha Ayub Safia Awan Akbar Shoukat Ali Ali Bin Sarwar Zubairi |
| author_sort | Danish Ali |
| collection | DOAJ |
| description |
Objective: To develop an easy-to-use severity scoring tool for prehospital triage of patients infected by the coronavirus disease-2019 in resource-limited settings.
Method: The cohort study was conducted at a tertiary care hospital in Karachi, from August to September 2020, and comprised adult patients of either gender who tested positive for coronavirus disease-2019 on real-time polymerase chain reaction. The scoring system and categorisation were based on validated scales for the detection of pneumonia and opinions from pulmonologists. Data was analysed using SPSS 19.
Results: Of the 206 participants, 100(48.5%) were in-patients and 106(51.5%) were out-patients. There were 144(69.9%) males and 62(30.1%) females with an overall mean age of 48.4±16.2 years. After categorisation based on severity, significantly higher number of in-patients were found to be in categories III and IV (p<0.05).
Conclusion: The severity scoring tool could effectively help classify coronavirus disease-2019 patients into mild, moderate and severe cases.
Key Words: Severity scoring tool, COVID-19 management, Pre-hospital triage, Low- and middle-income countries, Resource-limited setting.
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| first_indexed | 2024-03-12T00:40:59Z |
| format | Article |
| id | doaj.art-2bdd6e5859e74575825da8040c328a8e |
| institution | Directory Open Access Journal |
| issn | 0030-9982 |
| language | English |
| last_indexed | 2024-03-12T00:40:59Z |
| publishDate | 2023-09-01 |
| publisher | Pakistan Medical Association |
| record_format | Article |
| series | Journal of the Pakistan Medical Association |
| spelling | doaj.art-2bdd6e5859e74575825da8040c328a8e2023-09-15T04:52:58ZengPakistan Medical AssociationJournal of the Pakistan Medical Association0030-99822023-09-01731010.47391/JPMA.6058An easy-to-use prehospital severity scoring tool to triage COVID-19 positive adults in a resource-limited settingDanish Ali0Mustafa Zubairi1Maaha Ayub2Safia Awan3Akbar Shoukat Ali4Ali Bin Sarwar Zubairi5Aga Khan University, Karachi, PakistanFinal Year MBBS Student, Dow Medical College, Dow University of Health Sciences, Karachi, PakistanFinal Year MBBS Student, Aga Khan University Medical College, Karachi, PakistanDepartment of Medicine, Aga Khan University Hospital, Karachi, PakistanDepartment of Medicine, Aga Khan University Hospital, Karachi, PakistanDepartment of Medicine, Aga Khan University Hospital, Karachi, Pakistan Objective: To develop an easy-to-use severity scoring tool for prehospital triage of patients infected by the coronavirus disease-2019 in resource-limited settings. Method: The cohort study was conducted at a tertiary care hospital in Karachi, from August to September 2020, and comprised adult patients of either gender who tested positive for coronavirus disease-2019 on real-time polymerase chain reaction. The scoring system and categorisation were based on validated scales for the detection of pneumonia and opinions from pulmonologists. Data was analysed using SPSS 19. Results: Of the 206 participants, 100(48.5%) were in-patients and 106(51.5%) were out-patients. There were 144(69.9%) males and 62(30.1%) females with an overall mean age of 48.4±16.2 years. After categorisation based on severity, significantly higher number of in-patients were found to be in categories III and IV (p<0.05). Conclusion: The severity scoring tool could effectively help classify coronavirus disease-2019 patients into mild, moderate and severe cases. Key Words: Severity scoring tool, COVID-19 management, Pre-hospital triage, Low- and middle-income countries, Resource-limited setting. https://ojs.jpma.org.pk/index.php/public_html/article/view/6058Severity scoring toolCOVID-19 managementPre-hospital triageLow- and middle-income countriesResource-limited setting |
| spellingShingle | Danish Ali Mustafa Zubairi Maaha Ayub Safia Awan Akbar Shoukat Ali Ali Bin Sarwar Zubairi An easy-to-use prehospital severity scoring tool to triage COVID-19 positive adults in a resource-limited setting Journal of the Pakistan Medical Association Severity scoring tool COVID-19 management Pre-hospital triage Low- and middle-income countries Resource-limited setting |
| title | An easy-to-use prehospital severity scoring tool to triage COVID-19 positive adults in a resource-limited setting |
| title_full | An easy-to-use prehospital severity scoring tool to triage COVID-19 positive adults in a resource-limited setting |
| title_fullStr | An easy-to-use prehospital severity scoring tool to triage COVID-19 positive adults in a resource-limited setting |
| title_full_unstemmed | An easy-to-use prehospital severity scoring tool to triage COVID-19 positive adults in a resource-limited setting |
| title_short | An easy-to-use prehospital severity scoring tool to triage COVID-19 positive adults in a resource-limited setting |
| title_sort | easy to use prehospital severity scoring tool to triage covid 19 positive adults in a resource limited setting |
| topic | Severity scoring tool COVID-19 management Pre-hospital triage Low- and middle-income countries Resource-limited setting |
| url | https://ojs.jpma.org.pk/index.php/public_html/article/view/6058 |
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