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Can scoring systems be used for the triage of COVID-19 patients?
Cebeci, Z; Cebeci, A B; Coskun, I; Canakci, E.
  • Cebeci Z; Department of Anesthesiology and Reanimation, Ordu University School of Medicine, Ordu, Turkey.
  • Cebeci AB; Department of Family Medicine, Ordu State Hospital, Ordu, Turkey.
  • Coskun I; Department of Anesthesiology and Reanimation, Ordu University School of Medicine, Ordu, Turkey.
  • Canakci E; Department of Anesthesiology and Reanimation, Ordu University School of Medicine, Ordu, Turkey.
Niger J Clin Pract ; 25(11): 1779-1784, 2022 Nov.
Article in English | MEDLINE | ID: covidwho-2144253
ABSTRACT
Background and

Aim:

Whether to send COVID-19 patients home with quarantine measures or to hospitalize and treat them on an inpatient basis is a very important decision in the treatment of COVID-19 patients. This study aimed to introduce a scoring system that will enable making decisions on inpatient or outpatient treatment of patients by scoring their symptoms, clinical, radiological, and laboratory results during the initial assessment. Materials and

Methods:

Data of patients over 18 years of age, examined for COVID-19 between March 11, 2020, and May 31, 2020, and who had a positive PCR result, and their radiological (computed tomography reports) and blood test (complete blood count, blood gas and laboratory results) results were recorded to develop our scoring system.

Results:

A comparison of COVID-19 patients, who received outpatient and inpatient treatments by age variable, revealed a significant result (P < 0.001). The comparison of laboratory results showed a significant difference between both groups (P < 0.001). The comparison of the groups by the presence of comorbidity also revealed a significant result (P < 0.001). According to the scoring system that we developed (Cebeci score), a score of 5 points and above had a specificity of 81% and a sensitivity of 88% for indicating the probability of receiving inpatient treatment.

Conclusion:

We believe that the scoring system we developed will be a simple, practical, and leading guide for physicians to avoid dilemmas regarding the issue of whether to quarantine patients at home or to hospitalize them in order to use medical resources effectively.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Triage / COVID-19 Type of study: Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Limits: Adolescent / Adult / Humans Language: English Journal: Niger J Clin Pract Journal subject: Medicine Year: 2022 Document Type: Article Affiliation country: Njcp.njcp_1617_21

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Triage / COVID-19 Type of study: Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Limits: Adolescent / Adult / Humans Language: English Journal: Niger J Clin Pract Journal subject: Medicine Year: 2022 Document Type: Article Affiliation country: Njcp.njcp_1617_21