Assessing the symptomatic patient affected by COVID-19: the CovidScore scale and the stratification of the clinical risk in sub-intensive units
DOI:
https://doi.org/10.54103/dn/19244Keywords:
COVID-19, NEWS2, assessment, nursing, nurseAbstract
INTRODUCTION: During the pandemic peaks of COVID-19, it was necessary to promptly assess and recognize critical patients early through effective clinical framing supported by specific instruments; therefore, the CovidScore scale was designed, including among its items the specific characteristics of the Sars-CoV-2 patient.
OBJECTIVES: To test whether the CovidScore scale results in better risk framing and stratification than the NEWS2 scale and instrument-free nursing assessment.
MATERIALS AND METHODS: A longitudinal, single-center, prospective study was performed by enrolling 182 patients. Aggregate scores and risk levels defined by CovidScore and NEWS2 were determined through data collected from nurses, who also provided their assessment at intake.
RESULTS: A moderate but statistically significant concordance was found between risk estimated by CovidScore and nurse score (K=0.239.; p<0.00022); between CovidScore and NEWS2, the concordance found was null (K=0.089, p<0.019); low concordance values were found between nurse assessment and NEWS2 (K=0.033, p<0.05).
CONCLUSIONS: The NEWS2 scale seems to underestimate the clinical status of the COVID-19 patient compared with the assessments by CovidScore and nurses. Specific standardized clinical assessment and response systems for the COVID-19 patient, such as the CovidScore scale, could improve the management of large inpatient numbers and positively impact patient outcomes. Further studies with robust methodology are needed to test these hypotheses and strengthen the evidence found.
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Copyright (c) 2023 Filippo Capone, Ana Karina Hinojosa, Alessia Gant, Sara Dentice
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Accepted 2023-04-05
Published 2023-07-31
