Evidence map›Paper›PMID 34526332›Full record

ArticleBMJ open2021

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

Sarah Hirner, Jennifer Lee Pigoga, Antoinette Vanessa Naidoo, Emilie J Calvello Hynes, Yasein O Omer, Lee A Wallis, Corey B Bills

Abstract readScoping Review
In one paragraph

Article in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. Observational
  8. Article
  9. Article
  10. Triage in the time of COVID-19.The Lancet. Digital health · 2022
    Article
  11. Article
  12. Differential diagnosis of COVID-19 and influenza.PLOS global public health · 2022
    Article
  13. Article
  14. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Sarah HirnerUniversity of Colorado Denver School of Medicine, Aurora, Colorado, USA.
Jennifer Lee PigogaDivision of Emergency Medicine, University of Cape Town, Rondebosch, Western Cape, South Africa.ORCID 0000-0002-5587-590X
Antoinette Vanessa NaidooDivision of Emergency Medicine, University of Cape Town, Rondebosch, Western Cape, South Africa.
Emilie J Calvello HynesDepartment of Emergency Medicine, University of Colorado Denver School of Medicine, Aurora, Colorado, USA.ORCID 0000-0002-4777-9520
Yasein O OmerDivision of Emergency Medicine, University of Cape Town, Rondebosch, Western Cape, South Africa.
Lee A WallisDivision of Emergency Medicine, University of Cape Town, Rondebosch, Western Cape, South Africa.
Corey B BillsDepartment of Emergency Medicine, University of Colorado Denver School of Medicine, Aurora, Colorado, USA corey.bills@cuanschutz.edu.ORCID 0000-0002-3456-6008

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesPurposefully 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.

designA 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.

resultsMost 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.

conclusionsThis 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.

Indexed as

COVID-19TriageHumansProspective StudiesRetrospective StudiesSARS-CoV-2accident & emergency medicineCOVID-19infection controlpublic health

Identifiers

PMID34526332
PMCPMC8449848

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.