ABSTRACT

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."

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2020-06-08
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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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Alberta Health Services: https://www.albertahealthservices.ca/
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pdf
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