Fast track triage for COVID-19 based on a population study: The soda score.

Autor: Lopez-Pais J; Cardiology Department, University Clinical Hospital of Santiago de Compostela, Santiago de Compostela, Spain.; CIBERCV, Spain., Otero DL; Cardiology Department, University Clinical Hospital of Santiago de Compostela, Santiago de Compostela, Spain.; CIBERCV, Spain., Ferreiro TG; Cardiology Department, University Clinical Hospital of Santiago de Compostela, Santiago de Compostela, Spain., Antonio CEC; Cardiology Department, University Clinical Hospital of Santiago de Compostela, Santiago de Compostela, Spain., Muiños PJA; Cardiology Department, University Clinical Hospital of Santiago de Compostela, Santiago de Compostela, Spain., Perez-Poza M; Cardiology Department, University Clinical Hospital of Santiago de Compostela, Santiago de Compostela, Spain., García ÓO; Cardiology Department, University Clinical Hospital of Santiago de Compostela, Santiago de Compostela, Spain., Ramos VJ; Cardiology Department, University Clinical Hospital of Santiago de Compostela, Santiago de Compostela, Spain., Fernández MS; Cardiology Department, University Clinical Hospital of Santiago de Compostela, Santiago de Compostela, Spain., Fernandez MB; Cardiology Department, University Clinical Hospital of Santiago de Compostela, Santiago de Compostela, Spain.; CIBERCV, Spain.; Instituto de Investigación Sanitaria IDICHUS, Spain., Pena XCS; Cardiology Department, University Clinical Hospital of Santiago de Compostela, Santiago de Compostela, Spain.; CIBERCV, Spain.; Instituto de Investigación Sanitaria IDICHUS, Spain., Roman AV; Cardiology Department, University Clinical Hospital of Santiago de Compostela, Santiago de Compostela, Spain.; CIBERCV, Spain.; Instituto de Investigación Sanitaria IDICHUS, Spain., Romero MP; Primary Healthcare, Centro de Salud Concepción Arenal, Santiago de Compostela, Spain., Lago AL; Intensive Care Unit, University Clinical Hospital of Santiago de Compostela, Santiago de Compostela, Spain., Escudero JÁ; Anaesthesia Department, University Clinical Hospital of Santiago de Compostela, Santiago de Compostela, Spain., Román AS; Cardiology Department, University Clinical Hospital of Valladolid, Valladolid, Spain., Gonzalez-Juanatey JR; Cardiology Department, University Clinical Hospital of Santiago de Compostela, Santiago de Compostela, Spain.; CIBERCV, Spain.
Jazyk: angličtina
Zdroj: Preventive medicine reports [Prev Med Rep] 2020 Dec 29; Vol. 21, pp. 101298. Date of Electronic Publication: 2020 Dec 29 (Print Publication: 2021).
DOI: 10.1016/j.pmedr.2020.101298
Abstrakt: Background: Healthcare systems are under prominent stress due to the COVID-19 pandemic. A fast and simple triage is mandatory to screen patients who will benefit from early hospitalization, from those that can be managed as outpatients. There is a lack of all-comers scores, and no score has been proposed for western-world population.
Aims: To develop a fast-track risk score valid for every COVID-19 patient at diagnosis.
Methods: Single-center, retrospective study based on all the inhabitants of a healthcare area. Logistic regression was used to identify simple and wide-available risk factors for adverse events (death, intensive care admission, invasive mechanical ventilation, bleeding > BARC3, acute renal injury, respiratory insufficiency, myocardial infarction, acute heart failure, pulmonary emboli, or stroke).
Results: Of the total healthcare area population, 447.979 inhabitants, 965 patients (0.22%), were diagnosed with COVID-19. A total of 124 patients (12.85%) experienced adverse events. The novel SODA score (based on sex, peripheral O 2 saturation, presence of diabetes, and age) demonstrated good accuracy for adverse events prediction (area under ROC curve 0.858, CI: 0.82-0.98). A cut-off value of ≤2 points identifies patients with low risk (positive predictive value [PPV] for absence of events: 98.9%) and a cut-off of ≥5 points, high-risk patients (PPV 58.8% for adverse events).
Conclusions: This quick and easy score allows fast-track triage at the moment of diagnosis for COVID-19 using four simple variables: age, sex, SpO 2 , and diabetes. SODA score could improve preventive measures taken at diagnosis in high-risk patients and also relieve resources by identifying very low-risk patients.
Competing Interests: The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
(© 2020 The Authors.)
Databáze: MEDLINE
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