Potential solutions for screening, triage, and severity scoring of suspected COVID-19 positive patients in low-resource settings: a scoping review.

Autor:	Hirner S; University of Colorado Denver School of Medicine, Aurora, Colorado, USA., Pigoga JL; Division of Emergency Medicine, University of Cape Town, Rondebosch, Western Cape, South Africa., Naidoo AV; Division of Emergency Medicine, University of Cape Town, Rondebosch, Western Cape, South Africa., Calvello Hynes EJ; Department of Emergency Medicine, University of Colorado Denver School of Medicine, Aurora, Colorado, USA., Omer YO; Division of Emergency Medicine, University of Cape Town, Rondebosch, Western Cape, South Africa.; Sudan Medical Specialization Board, Khartoum, Sudan., Wallis LA; Division of Emergency Medicine, University of Cape Town, Rondebosch, Western Cape, South Africa., Bills CB; Department of Emergency Medicine, University of Colorado Denver School of Medicine, Aurora, Colorado, USA corey.bills@cuanschutz.edu.
Jazyk:	angličtina
Zdroj:	BMJ open [BMJ Open] 2021 Sep 15; Vol. 11 (9), pp. e046130. Date of Electronic Publication: 2021 Sep 15.
DOI:	10.1136/bmjopen-2020-046130
Abstrakt:	Objectives: Purposefully designed and validated screening, triage, and severity scoring tools are needed to reduce mortality of COVID-19 in low-resource settings (LRS). This review aimed to identify currently proposed and/or implemented methods of screening, triaging, and severity scoring of patients with suspected COVID-19 on initial presentation to the healthcare system and to evaluate the utility of these tools in LRS. Design: A scoping review was conducted to identify studies describing acute screening, triage, and severity scoring of patients with suspected COVID-19 published between 12 December 2019 and 1 April 2021. Extracted information included clinical features, use of laboratory and imaging studies, and relevant tool validation data. Participant: The initial search strategy yielded 15 232 articles; 124 met inclusion criteria. Results: Most studies were from China (n=41, 33.1%) or the United States (n=23, 18.5%). In total, 57 screening, 23 triage, and 54 severity scoring tools were described. A total of 51 tools-31 screening, 5 triage, and 15 severity scoring-were identified as feasible for use in LRS. A total of 37 studies provided validation data: 4 prospective and 33 retrospective, with none from low-income and lower middle-income countries. Conclusions: This study identified a number of screening, triage, and severity scoring tools implemented and proposed for patients with suspected COVID-19. No tools were specifically designed and validated in LRS. Tools specific to resource limited contexts is crucial to reducing mortality in the current pandemic. Competing Interests: Competing interests: None declared. (© Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)
Databáze:	MEDLINE
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