Key Research Question: For Patients with COVID-19 Who Are Admitted to Hospital, Which Risk Prediction Tool Should Be Used to Guide Admission Disposition and Management Decisions? [Updated June 8, 2020]   [open pdf - 379KB]

From the Context: "[1] Risk prediction tools have been developed to guide the clinical decision-making process through the detection of physiologic changes that signal clinical deterioration of the patient. [2] These tools are typically developed for use in the emergency department and intensive care unit settings, however they may help inform admission disposition decisions (ward versus ICU [intensive care unit]) as well as monitoring and management decisions for patients admitted to general wards during the COVID-19 [coronavirus disease 2019] pandemic. [3] Tool selection for implementation in AHS [Alberta Health Services] facilities during the COVID-19 pandemic should consider 1) reported tool performance characteristics in patient populations comparable to those in Alberta; 2) feasibility of measured parameters; and 3) ease of use/interpretation by a broad group of health care providers. [4] Since our initial review, the CURB-65 [confusion, urea, respiratory rate, blood pressure, and 65 years of age or older] score is currently in use by Calgary Zone hospitals for inpatient disposition decisions, while the MEWS [Modified Early Warning Score] has been incorporated into ConnectCare at the University of Alberta Hospital for patients admitted to wards. The full extent of their use is uncertain."

2020 Alberta Health Services. 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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