Abstract
Objective: Since the outbreak of coronavirus disease 2019 (COVID-19), the triage of patients diagnosed with corona virus has been a very important issue. The aim of this study was to introduce a triage scoring system according to the clinical and para-clinical findings of patients in order to be admitted or discharged with COVID-19. Methods: After confirming the positive polymerase chain reaction (PCR) test for patients, we used a scoring system which included: the age of patient (less than 40 years and>40 years), early vital signs at the time of admission, lab tests including C-reactive protein (CRP), white blood count (WBC), lactate dehydrogenase (LDH), D-dimer, chest imaging findings, comorbidity and shortness of breath. Results: The clinical score obtained for each variable in this scoring system was a number between 0 and 3. The total score was a minimum of 0 and a maximum of 17. A higher score indicated an increase in the intensity and the need for intensive care. These scores were classified into 3 groups: 0-4, 5-10 and above 10. In the next stage, patients were divided into three groups: mild, moderate and severe. In this regard, patients with mild symptoms were suggested to receive home quarantine and home treatment, patients with moderate symptoms were recommended hospitalization and medical care, and finally patients with severe symptoms were inclined to intensive care. Conclusion: In order to treat and manage patients with COVID-19, it is necessary to pay particular attention to clinical and para-clinical findings and prioritize these findings based on the severity and the condition of patients.
Highlights
Coronavirus 2019, caused by a common humananimal virus called severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), has been recently emerged [1]
The clinical score obtained for each variable in this scoring system was a number between 0 and 3
A pyramid for hospitalization or discharge of patients was taken into account
Summary
Coronavirus 2019, caused by a common humananimal virus called severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), has been recently emerged [1]. Clinical signs and symptoms may take several days after the onset of the disease to progress to the lower parts of the lungs to be worsened In this situation, all patients should be closely monitored. Due to the crisis and the quick transmission of the disease as well as the need for facilities such as special beds and isolation in hospitals, paying particular attention to the clinical course and manifestations of the disease in patients is necessary. In this regard, providing efficient care and management of patients seems critical. The aim of this study was to introduce a triage scoring system according to the clinical and para-clinical findings of patients in order to be admitted or discharged with COVID-19
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