Assessment tool accurately predicts outcomes for COVID-19 patients

Assessment tool accurately predicts outcomes for COVID-19 patients

A study published in the American Journal of Emergency Medicine this month reports on an assessment tool developed by Kaiser Permanente researchers and physicians that helps ensure patients get the right care, when they need it, by accurately predicting the probability that patients with COVID-19 symptoms will experience severe disease or even death.

As the pandemic surges again across the country and hospitalizations are increasing, front-line physicians often must make quick decisions to hospitalize or discharge patients with COVID-19 symptoms. We created a risk assessment that looks at many different patient variables that might predict a critical poor outcome — without any lab or diagnostic testing.”

Adam Sharp, MD, emergency medicine physician, researcher for the Kaiser Permanente Southern California Department of Research & Evaluation

The risk score is particularly helpful to physicians in making these decisions at the time of the emergency department visit, Dr. Sharp said.

The assessment tool, called the COVAS score because it looks at comorbidities, obesity, vital signs, age, and sex, has already been incorporated into the electronic health record system throughout Kaiser Permanente in Southern California, where it guides clinical decisions in emergency departments and urgent care centers. In this study, the COVAS score accurately predicted the probability of death or the need for critical respiratory care within 7 days for patients seen at Kaiser Permanente emergency departments in Southern California.

“I have used this tool successfully with my own patients in the emergency department and it helps provide necessary information to make informed decisions with patients,” Dr.…

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