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10.1007/s11739-020-02483-0

http://scihub22266oqcxt.onion/10.1007/s11739-020-02483-0
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suck abstract from ncbi


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pmid32888112      Intern+Emerg+Med 2020 ; 15 (8): 1525-1531
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  • Outpatient management or hospitalization of patients with proven or suspected SARS-CoV-2 infection: the HOME-CoV rule #MMPMID32888112
  • Douillet D; Mahieu R; Boiveau V; Vandamme YM; Armand A; Morin F; Savary D; Dubee V; Annweiler C; Roy PM
  • Intern Emerg Med 2020[Nov]; 15 (8): 1525-1531 PMID32888112show ga
  • In the context of the COVID-19 pandemic and overloaded hospitals, a central issue is the need to define reliable and consensual criteria for hospitalization or outpatient management in mild cases of COVID-19. Our aim was to define an easy-to-use clinical rule aiming to help emergency physicians in hospitalization or outpatient management decision-making for patients with suspected or confirmed SARS-CoV-2 infection (the HOME-CoV rule). The Delphi method was used to reach a consensus of a large panel of 51 experts: emergency physicians, geriatricians, infectious disease specialists, and ethical consultants. A preliminary list of eligible criteria was compiled based on a literature review. Four rounds of anonymized expert consultations were performed. The experts were asked to score each item as relevant, possibly relevant and non-relevant, as major or minor, and to choose the cut-off. They were also able make suggestions and remarks. Eight criteria constituting the HOME-CoV were selected: six correspond to the severity of clinical signs, one to the clinical course (clinically significant worsening within the last 24 h), and the last corresponds to the association of a severe comorbidity and an inadequate living context. Hospitalization is deemed necessary if a patient meets one or more of the criteria. In the end, 94.4% of the experts agreed with the defined rule. Thanks to the Delphi method, an absolute consensus was obtained of a large panel of experts on the HOME-CoV rule, a decision-making support mechanism for clinicians to target patients with suspected or confirmed COVID-19 requiring hospitalization.Trial registration: NCT04338841.
  • |Aged[MESH]
  • |Ambulatory Care/*methods/trends[MESH]
  • |COVID-19[MESH]
  • |Coronavirus Infections/epidemiology/*therapy[MESH]
  • |Delphi Technique[MESH]
  • |Hospitalization/statistics & numerical data[MESH]
  • |Humans[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Outpatients/statistics & numerical data[MESH]
  • |Pandemics/*statistics & numerical data[MESH]
  • |Pneumonia, Viral/epidemiology/*therapy[MESH]
  • |Risk Factors[MESH]


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