Triage tool for suspected COVID-19 patients in the emergency room: AIFELL score
AUTOR(ES)
Levenfus, Ian; Ullmann, Enrico; Battegay, Edouard; Schuurmans, Macé M.
FONTE
Braz J Infect Dis
DATA DE PUBLICAÇÃO
2020-10
RESUMO
Abstract Clinical prediction scores support the assessment of patients in the emergency setting to determine the need for further diagnostic and therapeutic steps. During the current COVID-19 pandemic, physicians in emergency rooms (ER) of many hospitals have a considerably higher patient load and need to decide within a short time frame whom to hospitalize. Based on our clinical experiences in dealing with COVID-19 patients at the University Hospital in Zurich, we created a triage score with the acronym "AIFELL" consisting of clinical, radiological and laboratory findings.The score was then evaluated in a retrospective analysis of 122 consecutive patients with suspected COVID-19 from March until mid-April 2020. Descriptive statistics, Student's t-test, ANOVA and Scheffe's post-hoc analysis confirmed the diagnostic power of the score. The results suggest that the AIFELL score has potential as a triage tool in the ER setting intended to select probable COVID-19 cases for hospitalization in spontaneously presenting or referred patients with acute respiratory symptoms.
Documentos Relacionados
- Lung Ultrasound as a Triage Tool in an Emergency Setting during the Covid-19 Outbreak: comparison with CT Findings
- Performance of the Pandemic Medical Early Warning Score (PMEWS), Simple Triage Scoring System (STSS) and Confusion, Uremia, Respiratory rate, Blood pressure and age ≥ 65 (CURB-65) score among patients with COVID-19 pneumonia in an emergency department triage setting: a retrospective study
- Emergency Surgery in Urology during the COVID-19 Pandemic
- Contamination risk in urology operating room during the COVID-19 pandemic
- Ophthalmological findings in patients suspected with COVID-19 at a tertiary hospital in Pernambuco, Brazil