An easy-to-use prehospital severity scoring tool to triage COVID-19 positive adults in a resource-limited setting

Authors

  • Danish Ali Aga Khan University, Karachi, Pakistan
  • Mustafa Zubairi Final Year MBBS Student, Dow Medical College, Dow University of Health Sciences, Karachi, Pakistan
  • Maaha Ayub Final Year MBBS Student, Aga Khan University Medical College, Karachi, Pakistan
  • Safia Awan Department of Medicine, Aga Khan University Hospital, Karachi, Pakistan
  • Akbar Shoukat Ali Department of Medicine, Aga Khan University Hospital, Karachi, Pakistan
  • Ali Bin Sarwar Zubairi Department of Medicine, Aga Khan University Hospital, Karachi, Pakistan

DOI:

https://doi.org/10.47391/JPMA.6058

Keywords:

Severity scoring tool, COVID-19 management, Pre-hospital triage, Low- and middle-income countries, Resource-limited setting

Abstract

Objective: To develop an easy-to-use severity scoring tool for prehospital triage of patients infected by the coronavirus disease-2019 in resource-limited settings.

Method: The cohort study was conducted at a tertiary care hospital in Karachi, from August to September 2020, and comprised adult patients of either gender who tested positive for coronavirus disease-2019 on real-time polymerase chain reaction. The scoring system and categorisation were based on validated scales for the detection of pneumonia and opinions from pulmonologists. Data was analysed using SPSS 19.

Results: Of the 206 participants, 100(48.5%) were in-patients and 106(51.5%) were out-patients. There were 144(69.9%) males and 62(30.1%) females with an overall mean age of 48.4±16.2 years. After categorisation based on severity, significantly higher number of in-patients were found to be in categories III and IV (p<0.05).

Conclusion: The severity scoring tool could effectively help classify coronavirus disease-2019 patients into mild, moderate and severe cases.

Key Words: Severity scoring tool, COVID-19 management, Pre-hospital triage, Low- and middle-income countries, Resource-limited setting.

Author Biography

Danish Ali, Aga Khan University, Karachi, Pakistan

Research Facilitation Office, Aga Khan University, Stadium Road, Karachi, Pakistan

Published

2023-09-13

How to Cite

Ali, D., Zubairi, M., Ayub, M., Awan, S., Ali, A. S., & Ali Bin Sarwar Zubairi. (2023). An easy-to-use prehospital severity scoring tool to triage COVID-19 positive adults in a resource-limited setting. Journal of the Pakistan Medical Association, 73(10), 1959–1964. https://doi.org/10.47391/JPMA.6058

Issue

Section

RESEARCH ARTICLE

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