Key Research Question: For Patients with Suspected/Confirmed COVID-19 in the Community, Are There Predictive Risk Tools or Tests (e.g., Roth Test; Oxygen Saturation Where Possible) That Can Assist in Deciding Who is at Risk of Clinical Deterioration and Should Be Assessed in the Emergency Department? (Updated June 15, 2020)   [open pdf - 457KB]

From the Context: "[1] After further review of the evidence (as of June 5, 2020), one tool, the CRB-65 is being explored for the assessment of community acquired pneumonia in primary care, in conjunction with COVID-19 [coronavirus disease 2019] but has 'not' been used in a remote assessment setting where care has been delivered virtually during the pandemic. [2] Anecdotally, there remains reports of primary care providers using non-validated tools (i.e., Roth Score, heart rate apps) to assess patients through virtual care (e.g., telephone assessments) for evidence of clinical deterioration (e.g., hypoxia, shortness of breath, increased heart rate) despite mixed evidence. [3] As the evidence base around COVID-19 grows, robust and reliable predictive tools to stratify risk for the development of severe COVID-19 illness are deemed critical. [4] The review was not limited to any specific populations, but would likely be most applicable to ambulatory adult populations with suspected or confirmed COVID-19."

2020 Alberta Health Services, COVID-19 Scientific Advisory Group. Posted here with permission. Document is under a Creative Commons license and requires proper attribution and noncommercial use to be shared: [https://creativecommons.org/licenses/by-nc-nd/4.0/].
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Alberta Health Services Scientific Advisory Group COVID-19 Recommendations: https://www.albertahealthservices.ca/topics/Page17074.aspx
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